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Strawberry Pink Blood
Jayashree D Kulkarni1, Puneeta Bhatia2, Sanjay A Pai3
1Department of Pathology and Laboratory Medicine, Columbia Asia Referral Hospital, Yeshwanthpur, Bangalore, Karnataka 560055 India.
Insights
A 3-month-old infant presented with strawberry-pink blood that turned white and lipemic after centrifugation. This rare presentation suggests potential lipid metabolism disorders like familial hypercholesterolemia.
Area of Science:
- Pediatric lipidology
- Hematology
- Clinical biochemistry
Background:
- Blood's typical red color is due to erythrocytes.
- Lipemia, or high levels of lipids in the blood, can alter blood appearance.
Purpose of the Study:
- To report a rare case of a neonate with unusually colored blood.
- To discuss the differential diagnosis for lipemic blood in infants.
Main Methods:
- Clinical case presentation.
- Observation of blood color changes before and after centrifugation.
Main Results:
- The infant's blood was strawberry pink before centrifugation.
- Post-centrifugation, the blood was white, indicating profound lipemia.
- Differential diagnoses included familial hypercholesterolemia and familial combined hyperlipidemia.
Conclusions:
- Infants can present with non-red blood due to severe hyperlipidemia.
- Familial lipid disorders should be considered in neonates with lipemic blood.
Abstract:
Blood need not always be red. We report a case of a 3 month old boy whose blood was strawberry pink before centrifugation and white (profusely lipemic) after centrifugation. The differential diagnosis was familial hypercholesterolemia or familial combined hyperlipidemia.
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