Dizygotic twins with prolonged jaundice and microcytic, hypochromic, hemolytic anemia with pyropoikilocytosis

被引:3
作者
Bahr, Timothy M. [1 ]
Lozano-Chinga, Michell [2 ]
Agarwal, Archana M. [3 ,4 ]
Meznarich, Jessica A. [2 ]
Gerday, Erick [5 ]
Smoot, Jennifer L. [5 ]
Taylor, Ann [6 ]
Christensen, Robert D. [1 ,2 ]
机构
[1] Univ Utah Hlth, Dept Pediat, Div Neonatol, Salt Lake City, UT USA
[2] Univ Utah Hlth, Dept Pediat, Div Hematol Oncol, Salt Lake City, UT USA
[3] Univ Utah Hlth, Dept Pediat, Div Hematopathol, Salt Lake City, UT USA
[4] ARUP Labs, Salt Lake City, UT USA
[5] Utah Valley Hosp, Div Neonatol, Dept Pediat, Provo, UT USA
[6] Utah Valley Hosp, Dept Pathol, Provo, UT USA
关键词
Pyropoikilocytosis; Hemolysis; Hyperbilirubinemia; Hereditary elliptocytosis; Alpha thalassemia; HEREDITARY ELLIPTOCYTOSIS; MOLECULAR-BASIS; SPECTRIN; HYPERBILIRUBINEMIA; INDICATOR; MUTATION;
D O I
10.1016/j.bcmd.2020.102462
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dizygotic twin males, born at 34 weeks gestation, had prolonged jaundice, microcytic, hypochromic anemia, FABarts hemoglobin, elevated end-tidal CO, and blood films consistent with hereditary pyropoikilocytosis. DNA sequencing revealed both had a heterozygous alpha spectrin (SPTA1) mutation (c.460_462dup) inherited from their asymptomatic mother, plus a 3-base pair duplication in alpha globin (HBA2) (c.364_366dupGTG) inherited from their asymptomatic father.
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页数:5
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