Abstract
The thrombocytopenia-absent radii (TAR) syndrome is characterized by bilateral absence of the radii in the presence of both thumbs and thrombocytopenia. Lower limb involvement and cardiac, gastrointestinal, renal, and genital abnormalities may also be seen in the patients with TAR syndrome. Thrombocytopenia may be congenital or may develop within the first few weeks to months of life; in general, thrombocytopenic episodes decrease with age. Cow’s milk intolerance is common and can be associated with exacerbation of thrombocytopenia. Anemia has been described in a large number of patients. It is not clear whether this is entirely related to blood loss from bleeding secondary to thrombocytopenia or whether there may be a shortened RBC lifespan. There appears to be a hemolytic component to the anemia, particularly during the first year of life. TAR syndrome should be kept in mind in a neonate with thrombocytopenia that is associated with hemolytic anemia and cow’s milk intolerance should be examined. Here we report a patient with TAR syndrome associated with hemolytic anemia and cow’s milk allergy
Keywords: Cow’s milk intolerance, Hemolytic anemia, TAR syndrome, Thrombocytopenia
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