Charoenkwan Pimlak, Natesirinilkul Rungrote, Choeyprasert Worawut, Kulsumritpon Natchanon, Sangiamporn Orapan
*Department of Pediatrics, Division of Hematology and Oncology †Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
J Pediatr Hematol Oncol. 2017 Mar;39(2):e69-e70. doi: 10.1097/MPH.0000000000000750.
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.
遗传性椭圆形红细胞增多症是一种遗传性红细胞膜疾病,其特征是外周血涂片典型表现为椭圆形红细胞或棒状红细胞。血红蛋白H病是α地中海贫血的一种形式,可导致轻度至中度溶血性贫血。作者报告1例诊断为眼-耳-脊椎综合征且同时患有遗传性椭圆形红细胞增多症和缺失型血红蛋白H病的女孩。她有中度、非输血依赖型贫血。红细胞显示明显的异形红细胞症和破碎现象。父母均为α地中海贫血携带者,父亲具有常见遗传性椭圆形红细胞增多症的典型红细胞形态。