What is the diagnosis? Need doctors help.?

A seven month old male infant presents with bloody diarrhea and seems to have some unexplained bruises.
He has also has 鈥榗radle cap鈥?(eczema) and has been seen two months ago for a respiratory infection.
Blood analysis shows thrombocytopenia and small platelets, normal IgG, increased IgA and IgE and low IgM.

What is the diagnosis?

all good suggestions.. cept i need a diagnosis that takes into account all symptoms

Okay, this could be a number of things:
1. Complications of RDS
2. Some sort of parasite or other bowel infection
3. Side effect of a medication given for the resp. infection
4. If he is breast feeding: Galactosemia
5. Combination of medical problems
The bloody stool and bruises are much the same symptom, and the finding of thrombocytopenia is in keeping with these symptoms. The "cradle cap" is most likely not related to the current disease process (subhoric dermatitis is a normal finding in infants of this age). I brought up Galactosemia, because of the antibody information, if the infant is breast feeding he could have a E-coli infection secondary to Galactosemia. I would put my money on a side effect from the medication given for the resp. infection, which has caused a GI bleed. This baby needs immediate medical attention and if it is a GI bleed, possible surgery.

Thrombocytopenia is the medical term for a low blood platelet count. Platelets (thrombocytes) are colorless blood cells that play an important role in blood clotting. They stop blood loss by clumping together at the site of a blood vessel injury and forming plugs in vessel holes.

If for any reason your blood platelet count falls below normal, this is called thrombocytopenia. Complications may range from none at all to severe bleeding.

Thrombocytopenia often occurs as a result of a separate disease or disorder. For example, a bone marrow disorder such as leukemia can interfere with platelet production and reduce the number of platelets in your blood. Or sometimes, thrombocytopenia occurs because of an immune system malfunction that develops for unknown reasons. In addition, thrombocytopenia may occur as a reaction to a medication.

Thrombocytopenia often improves by treating the underlying cause. In some situations, medications or surgery can help treat chronic thrombocytopenia. If bleeding is severe, you may need a blood transfusion.


I found this on the internet.

Take the baby to the hospital. It could be so many things.
Yahoo answers is not the place to search such a serious illness.
Good luck to you.
Go to the hospital please.

Wiskott-Aldrich Syndrome should be part of the differential...
at least in my opinion.

http://www.bio.davidson.edu/courses/Immu...

If you will read thru this article, you will see that low platlets, small platlets, increased IgA and IgE, decreased IgM eczema, recurrent respiratory infections/viral infections/fungal infections, and even bloody stools are listed as s/s...the only thing not addressed is the IgG, which could be assumed to be normal since it is not listed as high or low. What more do you want???