Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 8179

Case report
Year : 2017 | Month : May | Volume : 11 | Issue : 5 | Page : ED07 - ED08

Detection of Compound Heterozygous Sickle Cell-b+ Thalassaemia in a Patient with Extreme Weakness, Mild Jaundice and Moderate Anaemia - A Case Report

Subhash Chandra, Mostafa Ali, Pooja Mishra, Ashok Kumar Kapoor, Yamini Jindal

1. Professor, Department of Pathology, GCRG Medical College, Lucknow, Uttar Pradesh, India. 2. Professor, Department of Pathology, Vivekanand Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 3. Senior Technician, Department of Pathology, Vivekanand Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 4. Pathologist, Department of Pathology, RML Mehrotra Pathology Pvt Ltd, Lucknow, Uttar Pradesh, India. 5. Resident, Department of Pathology, RML Mehrotra Pathology Pvt Ltd, Lucknow, Uttar Pradesh, India.

Correspondence Address :
Dr. Ashok Kumar Kapoor,
RML Mehrotra Pvt. Lmt, Nirala Nagar, Lucknow-226020, Uttar Pradesh, India.
E-mail: drashokkapoor2016@gmail.com

Abstract

A 16-year-old female complained of extreme weakness. She had moderate anaemia; her Haemoglobin (Hb) was 7.7 gm/dl. Peripheral blood smear showed few sickled red cells. Sickle cell test was positive. High-Performance Liquid Chromatography (HPLC) revealed elevated levels of HbS (38.4%) and HbF (15.7%). In addition, HbA2 concentration was 3.8% and HbA concentration was 42.1%. Results suggested a diagnosis of compound heterozygous sickle cell-Ŗ+thalassaemia. Sickle cell test was also positive with blood of patientís brother; Hb HPLC examination showed relatively low concentration of HbS (25.2%) suggesting a diagnosis of sickle cell trait. Chromatogram of patientís step sister suggested a diagnosis of thalassaemia trait. Findings of this study suggested that abnormal genes were inherited in the patient from both the parents. It was interpreted that repeated haemolysis in the patient might have contributed to anaemia, weakness, rise in indirect bilirubin and jaundice. Furthermore, high level of HbF (>12%) may interfere with polymerization of sickle haemoglobin suggesting beneficial effects of HbF-inducing agents which may inhibit sickling.

Keywords

Bilirubin, Defective globin chain synthesis, Gene, High-performance liquid chromatography

How to cite this article :

Subhash Chandra, Mostafa Ali, Pooja Mishra, Ashok Kumar Kapoor, Yamini Jindal. DETECTION OF COMPOUND HETEROZYGOUS SICKLE CELL-B+ THALASSAEMIA IN A PATIENT WITH EXTREME WEAKNESS, MILD JAUNDICE AND MODERATE ANAEMIA - A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 May [cited: 2017 Jun 28 ]; 11:ED07-ED08. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=May&volume=11&issue=5&page=ED07-ED08&id=9778

DOI and Others

DOI: 10.7860/JCDR/2017/24471.9778


Date of Submission: Sep 28, 2016
Date of Peer Review: Oct 29, 2016
Date of Acceptance: Jan 13, 2017
Date of Publishing: May 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • PubMed Centralģ (PMC)New
  • Academic Search Complete Database
  • Chemical Abstracts Service
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhostNew
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Open J-Gate
  • Popline (reproductive health literature)
  • SCOPUS
  • www.omnimedicalsearch.com