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South African Journal of Child Health

On-line version ISSN 1999-7671
Print version ISSN 1994-3032


SWART, L et al. Neonatal haemolytic anaemia - a diagnostic approach to red cell membrane disorders. S. Afr. j. child health [online]. 2018, vol.12, n.2, pp.81-83. ISSN 1999-7671.

In neonates presenting with a non-immune haemolytic anaemia, a high index of suspicion is raised for hereditary red cell membrane disorders. The distinction between red cell membrane disorders, however, is often difficult in neonates in the absence of a complete family history. We describe a case of a 26-day-old female twin who presented with jaundice and severe haemolysis, which required multiple red cell transfusions. Laboratory investigations revealed a non-immune haemolysis. Red cell membrane extraction and sodium dodecyl sulphate-polyacrylamide gel electrophoresis analysis, including spectrin analysis, revealed the presence of mutant spectrin αI/74. A diagnosis of hereditary elliptocytosis with transient infantile poikilocytosis was favoured. On follow-up at 4 months, a decline in haemolysis was observed.

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