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A 36 hour old female infant born after an uneventful pregnancy and labour presented with a history of vomiting fresh blood after each breast feed. Examination revealed a small for dates, dehydrated, and jaundiced infant. Initial investigations revealed polycythaemia, thrombocytopenia, and raised serum creatinine. Coagulation, infection, and metabolic screens were unremarkable. A renal ultrasound scan excluded renal …
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