Known Homozygous Sickle Cell in Pediatrics — 2yo Child | Pediatric Heme/Onc | SMLE Q#16415

SMLE Question #16415

Pediatrics Pediatric Heme/Onc

Objective: OBJ-153

Last updated: February 2026
A 2-year-old boy with known homozygous sickle cell disease is brought to the emergency department for painful swelling of both hands and feet for 1 day. There is no history of trauma, insect bites, or skin wounds. He is irritable and refuses to grasp toys. Examination shows symmetric swelling of the hands and feet that is warm and tender, without fluctuance, erythematous streaking, or focal joint limitation. Which of the following is the most likely diagnosis?

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