Hereditary spherocytosis: Consequences of delayed diagnosis

SAGE Open Medicine
Sarah C StewardChibuzo O'Suoji

Abstract

To determine whether patients with undiagnosed hereditary spherocytosis hospitalized for transfusions might have avoided hospitalization via earlier diagnosis. Charts of all (N = 30) patients with hereditary spherocytosis seen in pediatric hematology at West Virginia University-Charleston were reviewed. Family and transfusion history and presence of neonatal jaundice were recorded. Complete blood count and reticulocyte values during infancy were available for 20 of 30 patients, while baseline steady-state values were available for all 30. Transfusions were given to 22 patients; 12 of 14 with an aplastic crisis were undiagnosed. In 10 of 12, the severity of anemia led to hospitalization (3 to intensive care). All 10 had prior mean corpuscular hemoglobin concentration and/or red cell distribution width elevations and a history of neonatal jaundice; 7 of 10 had a positive family history. Undiagnosed hereditary spherocytosis may lead to inpatient transfusions for severe anemia. Earlier detection of hereditary spherocytosis is easily achievable and may reduce hospitalizations via closer monitoring.

References

Nov 1, 1990·Pediatrics in Review·W C Koch, G V Massey
Jun 1, 1997·The Journal of Pediatrics·L A MichaelsC S Manno
Aug 24, 2004·Archives of Disease in Childhood·P H B Bolton-Maggs
Dec 2, 2009·Pediatrics·Robert D Christensen, Erick Henry
Oct 7, 2010·Pediatrics·Robert D BakerUNKNOWN Committee on Nutrition American Academy of Pediatrics

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Citations

Aug 30, 2017·Neonatal Network : NN·Ashley WillDesi Newberry
Mar 19, 2016·Blood·Catherine ThieblemontFrédéric Davi
Jun 22, 2016·International Journal of Nursing Practice·Li-Juan WangJiao Chen
Jan 21, 2020·South Asian Journal of Cancer·Maneya PadmaAarthi Viswanathan
Feb 6, 2021·Expert Review of Hematology·Elisa FermoPaola Bianchi

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Methods Mentioned

BETA
electrophoresis

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