An 8 year old boy presented with bloody diarrhoea, fever and abdominal pain. He is found to have haemolytic anaemia, thrombocytopenia and acute renal failure. What is the most likely diagnosis?
- Gastroenteritis
- Thrombotic thrombocytopenic purpura
3) Haemolytic Uraemic Syndrome - Henoch Schonlein Purpura
- Inflammatory bowel disease
explanation
Haemolytic anaemia, thrombocytopenia and acute renal failure is classical of Haemolytic uraemic syndrome. In the majority of cases it is secondary of E. coli 0157 which leads to bloody diarrhoea. TTP is associated with these features but also neurological features.