An unexpected twist : a case of coexistence of hereditary spherocytosis and hemoglobin e thalassemia

Publication Date

2013

Document Type

Research

Abstract

A case of a 22 year old Filipino female who presented with abdominal pain. Work up revealed cholethiases and coexistence of HS and Hgb E thalassemia. Diagnosis for HS was based on: 1) clinical findings of splenogmegaly, jaundice, anemia and cholelithiases, 2) having a sibling diagnosed with HS, 3) peripheral blood smear revealing presence of spherocytes, and 4) increased osmotic fragility of the erythrocytes both with and without incubation. Diagnosis for Hgb E thalassemia was determined by 1) alkaline electrophoresis findings most compatible with hemoglobin E trait and 2) HPLC chromatography tracing revealing beta thalessemia, E-interacting with HbA2 levels at 32.3%.

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