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Introduction: Between 2005 and 2014, the 12-month prevalence of major depressive episodes among adolescents 12 to 17 years increased from 8.5% to 11.3%. Adolescent-onset depression is related to increased risk for depression and suicidal attempts in adulthood. It is known that depression is an adverse effect among adults taking OAM; however, the effect of OAM on adolescents is unknown. Aim: The aim of this study was to describe the relationship between Patient Health Questionnaire 9-Modified (PHQ9-M) scores and OAM use among adolescents. Methods: This study included data abstracted from charts of adolescents aged 12 to 21 years who completed a Kansas Be Healthy wellness appointment at the KUSM-W Peds Clinic in 2017. Odds ratios were used to calculate the relationship between Oral Allergy Medications and Gastrointestinal Medications use among adolescents and PHQ9-M scores. Results: Of the 425 adolescent charts analyzed, 22% (n=96) had positive PHQ9-M screens (a score of 10 or greater), and 13% (n=56) reported current use of allergy medication and/or GI Medications. Adolescents taking oral allergy medication were 1.77 times more likely to have a positive PHQ9-M screen than those not taking oral allergy medication. Among adolescents on allergy medication, there was no difference in PHQ9-M scores based on the drug class (1st or 2nd generation antihistamine or Montelukast). Conclusion: Healthcare providers must diligently explore OAM/GI use with adolescents during clinical encounters and discuss possible adverse effects of OAM on mood.

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Fanconi anaemia is rare autosomal recessive disease characterized by pancytopenia, varied phenotypic abnormalities, hyperpigmentation and developmental delay1. It is diagnosed by Mitomycin C sensitive chromosomal fragility test of blood lymphocytes2. We are reporting a rare case of Fanconi anaemia in a 12-year-old child. She has grossly hyperpigmentation over face, tongue, neck, intertriginous area upper and lower limb. Elder sister also had hyperpigmentation all over the body. Peripheral smear revealed macrocytic hypochromic anaemia with few ovalocytes, leukopenia and thrombocytopenia with elevated red blood cell mean corpuscular volume. Fanconi anaemia was diagnosed by doing Mitomycin c stress cytogenetic test for Fanconis anaemia. Hematopoietic stem cell transplantation is the only curative therapy for the hematologic abnormalities in fanconi anaemia3.