Habibzadeh Sana, Einakchi Majid, Kalantari Mohammad Ebrahim, Forouhar Farnood, Ma'souminejad Arefeh
Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences Islamic Azad University Mashhad Iran.
Department of General Surgery Imam Zaman Hospital Mashhad Iran.
Clin Case Rep. 2024 Jun 11;12(6):e9080. doi: 10.1002/ccr3.9080. eCollection 2024 Jun.
When a person has both HS and beta-thalassemia, their clinical symptoms tend to be less severe. This is because these two conditions have contrasting features. If the clinical symptoms and laboratory results cannot be solely attributed to hemolytic anemia, it is important to consider the possibility of another form of hemolytic anemia coexisting.
We present a 26-year-old woman who has been experiencing abdominal pain, jaundice, and anemia for the past 15 years. Initially, she was diagnosed with gallstones and splenomegaly, but after a thorough hematology examination conducted by expert colleagues, it was discovered that she had both beta-thalassemia and hereditary spherocytosis. The osmotic fragility test confirmed this diagnosis. The patient was advised to undergo both splenectomy and cholecystectomy procedures. It is worth noting that the co-occurrence of these two conditions is rare.
当一个人同时患有遗传性球形红细胞增多症(HS)和β地中海贫血时,其临床症状往往不太严重。这是因为这两种病症具有相反的特征。如果临床症状和实验室检查结果不能完全归因于溶血性贫血,那么考虑另一种溶血性贫血并存的可能性很重要。
我们报告一名26岁女性,在过去15年中一直经历腹痛、黄疸和贫血。最初,她被诊断为胆结石和脾肿大,但在专家同事进行全面血液学检查后,发现她同时患有β地中海贫血和遗传性球形红细胞增多症。渗透脆性试验证实了这一诊断。建议患者接受脾切除术和胆囊切除术。值得注意的是,这两种病症同时出现的情况很少见。