Coinheritance of Hereditary Elliptocytosis and Deletional Hemoglobin H Disease

Pimlak Charoenkwan1, Rungrote Natesirinilkul, Worawut Choeyprasert

  • 1*Department of Pediatrics, Division of Hematology and Oncology †Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Hereditary elliptocytosis is an inherited red blood cell membrane disorder characterized by typical peripheral blood smear findings of elliptocytes or rod-like red blood cells. Hemoglobin H disease is a form of α-thalassemia disease resulting in mild to moderate hemolytic anemia. The authors report 1 case of a girl who was diagnosed with oculo-auriculo-vertebral spectrum and a coinheritance of hereditary elliptocytosis and deletional hemoglobin H disease. She had moderate, non-transfusion-dependent anemia. The red blood cells showed marked poikilocytosis and fragmentation. The parents were α-thalassemia carriers and the father had the typical red blood cell morphology of common hereditary elliptocytosis.

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