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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Fever,low WBC Count,anemia And Gray Area On The Gums?

My grandson has had several episodes of elevated temps nor past 3-4 mo. He is 17 mo old. Now he has a white/grey area about 1cm on his gum. His WBCs are low and borderline anemia We were told he should see a specialist as a precaution. What does this sound like?
Tue, 30 Sep 2014
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Pathologist and Microbiologist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Possible recurrent infection due to bone marrow depression leading to pancytopenia.
2. Require hemogram, bone marrow biopsy and serum vit B12 profile for further evaluation.
3. It appears to be megaloblastic anemia. However, bone marrow biopsy will help in confirmation.
Hope it helps.
Any further queries, happy to help again.
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What Causes Frequent Fever,low WBC Count,anemia And Gray Area On The Gums?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Possible recurrent infection due to bone marrow depression leading to pancytopenia. 2. Require hemogram, bone marrow biopsy and serum vit B12 profile for further evaluation. 3. It appears to be megaloblastic anemia. However, bone marrow biopsy will help in confirmation. Hope it helps. Any further queries, happy to help again.