There is no history of fever, cough, chest pain, abdominal or urinary symtoms. Her mother denied allergies or past surgery.
Physical examination reveals a well-developed, well nourished white boy in no acute distress.
The patient's skin was pale , as was his mucous membranes. His extremities showed no cyanosis or edema. Abdomen - His abdomen was soft, but revealed hepatoesplenomegaly without tenderness. Neurological Examination - His neurological development was normal for his age. Because of anemia, thrombocytopenia and hepatosplenomegaly, a bone marrow aspirate and biopsy were performed.