Aster Medical Journal (AMJ)

A rare case of incidentally diagnosed Compound Hb S/betathalassemia at 40 years of age

1 Department of Pathology, Aster Hospital, Muscat, Oman.

2 Department of Internal Medicine and ICU, Aster Hospital, Muscat, Oman.

Key Words

Compound sickle cell β thalassemia, chronic anaemia, sickle cell disease, haemoglobin electrophoresis, Hb S, Hb F, delayed diagnosis, Oman.

Abbreviations

Hb S-sickle haemoglobin; Hb A-normal adult haemoglobin; Hb F-foetal haemoglobin; SCD-sickle cell disease; MCVmean corpuscular volume; MCH-mean corpuscular haemoglobin; MCHC-mean corpuscular haemoglobin concentration; RDW-red cell distribution width; RBC-red blood cell.

ABSTRACT

Sickle cell diseases are generally diagnosed in infancy or early childhood, with very few cases being undiagnosed until early adult life. Moreover, with a high percentage of Hb S in the blood, the patients present with variety of manifestations related to the disease. We present a rare case of

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