skip to main content

TEC — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateHaematology & OncologyTECRACP Paediatrics

A 4-year-old presents with pallor and anaemia (Hb 70 g/L). MCV is normal (82 fL). Reticulocyte count is very low. WCC and platelets are normal. He had a viral illness 2 weeks ago. Bone marrow shows absent red cell precursors but is otherwise normal. What is the diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Transient erythroblastopenia of childhood (TEC)

TEC: acquired transient red cell aplasia in young children (1-4 years), often following a viral infection. Bone marrow shows absent/reduced red cell precursors. Unlike DBA, it is normocytic, not macrocytic, and resolves spontaneously within 1-2 months. Transfusion support may be needed. It is not caused by parvovirus B19.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Red Cell Aplasia