On examination, she was a well-thriving child with sparse hypopigmented hair (figure 1A). Her abdomen was distended with firm hepatomegaly (span 15 cm), without any evidence of splenic enlargement or ...

Results A total of 250 infants had severe PH and 231 infants responded to thiamine. The mean age was 3.2±1.2 months. Fast breathing, poor feeding, vomiting and aphonia were the main symptoms.