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Medicine General 1368b010

Hepatosplenomegaly is not seen in: March 2010

A
Malaria
B
Lymphoma
C
Sickle cell disease
D
Kala azar
High-Yield Explanation
Ans. C: Sickle cell disease Some of the common medical causes of hepatosplenomegaly include: Leukemia Lymphoma Bilia atresia Bile duct carcinom Budd Chiari syndrome Spherocytosis Cirrhosis Hepatitis Malaria Thrombocytosis Patient with sickle cell disease often suffer from autosplenectomy as a result of splenic destruction by the numerous infarcts associated with the sickle cell crisis during childhood. Indeed presence of a palpable spleen in a patient with sickle cell disease after age 5 suggests a coexisting hemoglobinopathv

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