Clinico-Radio-Pathological Quiz

Abstract

A 12 years-old child had has an on and off fever for 7 months. He had an oral ulcer, alopecia, arthalgia and weigth loss.

CBC Hb 9.6 g/dL, Hct 28.4%, WBC 1230/uL, N 77.2%, L 16.3%, Platelet 61000/uL

Ferritin 5249 ng/mL (30-400), Fibrinogen 303.5 mg/dl (170-410), Triglyceride 121 mg/dL (0-200), Prothrombin time 13.3 sec (10.4-13.3), Partial thromboplastin time 36.2 sec (21.4-29.6),

ANA coarse speckle pattern >1:2560, anti-dsDNA 1:640, low compliment C3 0.38 g/L