What Causes Swelling Abdomen And Progressive Atrophy Of Arms And Legs?

Posted on Tue, 13 May 2014

Question: My three year old grand niece just dies yesterday after a progressively swelling abdomen and progressive atrophy of her arms and legs. What is the differential diagnosis? Celiac disease was ruled out earlier.

Answered by Dr. Prashant Mahajan (58 minutes later)

Brief Answer: Differential diagnosis Detailed Answer: Hi, Firstly I wish that your grand daughters suol rest in heaven. I would have liked to know more past history to draw conclusion. From what history you provided my differentials are 1)RENAL TUBULAR ACIDOSIS ( RTA )..in which some electrolytes and bicarbonate are lost in urine 2)PROTEIN LOSING ENTEROPATHY.. leading to hypoproteinemia and as cites (abdominal distention) 3)LIVER CIRROSIS.. leading to hypoproteinemia ...leading to ascites( progressive abdominal distention) 4) CHRONIC INFECTION like tuberculosis, HIV,hepatitis B Happy to help you, Regards,

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Above answer was peer-reviewed by : Dr. Raju A.T