A Case of Agnogenic Myeloid Metaplasia

A 1.5 year-old male child was hospitalized with the complaints of fever, cough, nausea and diarrhea. He had a prolonged jaundice with no specific findings in family history. General appearance was good, skin and conjunctivas were pale. He had hepatosplenomegaly and anemia, as well. The case was diagnosed as Agnogenic Myeloid Metaplasia with clinic and laboratory findings. On following days, organomegaly was progressed (5 cm liver and 8 cm spleen). 30 mg/kg/day methylprednisolone was administered as a treatment. Although liver and hematologic parameters were not changed during the therapy, spleen became 5 cm. Patient was discharged by his family while treatment was going on.