The child in the scenario is experiencing recurrent chest infections and abdominal pain with a prior history of blood transfusion. Examination reveals icterus (jaundice) and mild splenomegaly. The electrophoresis results show increased levels of HbA2, HbF, and a S spike.
These clinical features and electrophoresis findings are indicative of Beta thalassemia. Let's break down the important elements:
Based on these factors, the coherent diagnosis that fits the comprehensive profile—recurrent infections, abdominal pain, past blood transfusion, and specific electrophoresis results—is Beta thalassemia.
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