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Tailing growth, neonatal jaundice and anaemia
  1. Lucy Jefferson1,
  2. Athimalaipet V Ramanan2,3,
  3. Michelle Cummins4,
  4. Marion Roderick5
  1. 1 Paediatrics, Bristol Royal Hospital for Children, Bristol, UK
  2. 2 Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK
  3. 3 Translational Health Sciences, University of Bristol, Bristol, UK
  4. 4 Paediatric Haematology, Bristol Royal Hospital for Children, Bristol, UK
  5. 5 Paediatric Infectious Diseases and Immunology, Bristol Royal Hospital for Children, Bristol, UK
  1. Correspondence to Dr Lucy Jefferson, Paediatrics, Bristol Royal Hospital for Children, Bristol, BS2 8BJ, UK; lrjefferson89{at}


At medical school, there is a phrase to help us remember that common things are common: ‘If you hear hooves think horses, not zebras’. However, zebras do exist, and from time to time in general paediatric and neonatal practice, we will encounter these rare diagnoses, more of which we can now accurately diagnose through the ever-expanding field of genomics. Our case demonstrates how a rare diagnosis can present with common features of growth restriction, jaundice and anaemia. Paediatricians therefore require a high index of suspicion and increasing knowledge of the logistics of genetic testing.

  • Neonatology
  • Rheumatology
  • Allergy and Immunology
  • Infectious Disease Medicine
  • Paediatrics

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  • Contributors LJ wrote the manuscript, performed the literature search and is guarantor. MR, AVR, MC clinical case management and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.