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Pediatrics NEET Jan 2020 9cf8a733

A 5 year old boy has recurrent infections. low platelet count and rash as shown below. What is the likely diagnosis?

A
Severe Combined Immunodeficiency
B
Job Syndrome
C
Bruton's Agammaglobulinemia
D
Wiskott Aldrich Syndrome
High-Yield Explanation
The above clinical picture is suggestive of Wiskott aldrich syndrome Wiskott aldrich syndrome - X-linked disorder Defect in WASP gene (Chromosome X p 11) Clinical features -Triad of Eczema Recurrent infections Thrombocytopenia with small platelets Diagnosis - Platelets - small and decreased in number IgM - low IgE and IgA - Elevated

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