Congestive cardiac failure and anemia in a 15-year-old boy

From: Journal of Postgraduate Medicine | Date: July 1, 2005| Author: | Copyright information

A 15-year-old boy was referred to us with bilateral edema feet for the past four weeks. The edema had progressively increased to involve the thighs and was followed by facial puffiness. This was preceded by a history of easy fatigability, decreased appetite, and mild exertional dyspnea. It was not associated with orthopnea, paroxysmal nocturnal dyspnea, fever or any history suggestive of rheumatic fever. There was no history of blood loss from any site nor any bladder and bowel disturbances. There was no history of any major illness in the past. His primary care physician treated him ...

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