Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 4 2 2018 04 29 481 482 EN Ebrahim Espahbodi Department of Anesthesiology and Critical Care, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Anahid Maleki Department of Anesthesiology and Critical Care, Medical Center of Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Abbas Ostad Alipour Department of Anesthesiology and Critical Care, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Amir Abbas Yaghooti Department of Anesthesiology and Critical Care, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Alireza Tak Zare Department of Anesthesiology and Critical Care, Medical Center of Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mehdi Sanatkar Department of Anesthesiology and Critical Care, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2018 04 15 2018 04 29 letterer siwe disease is a rare disease and anesthesia management of patient with this disease is very challenging because of multiorgans involvement and poor information about anesthesia. We manage a child with this disease was refered to operating room for humerous bone fracture surgery. https://aacc.tums.ac.ir/index.php/aacc/article/view/181 https://aacc.tums.ac.ir/index.php/aacc/article/download/181/325