Hereditary Spherocytosis Overview
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Questions and Answers

What is the typical presentation of Hereditary Spherocytosis (HS)?

  • Severe anaemia, jaundice, and splenomegaly
  • Recurrent infections, jaundice, and splenomegaly
  • Severe pain, jaundice, and splenomegaly
  • Asymptomatic to severe symptoms depending on the defective protein (correct)
  • What is the key characteristic that differentiates HS from other forms of haemolytic anaemia?

  • Splenomegaly in the patient
  • Increased osmotic fragility of red blood cells (correct)
  • High levels of bilirubin in the blood
  • Presence of reticulocytes in the blood
  • Which of the following laboratory findings is NOT typically associated with Hereditary Spherocytosis?

  • Decreased red blood cell count
  • Reticulocytosis
  • Indirect hyperbilirubinemia
  • Increased serum iron levels (correct)
  • What is the primary mechanism of red blood cell destruction in Hereditary Spherocytosis?

    <p>Premature lysis due to osmotic fragility in the spleen (C)</p> Signup and view all the answers

    What is the most common type of Hereditary Spherocytosis?

    <p>HS-1 (B)</p> Signup and view all the answers

    Study Notes

    Hereditary Spherocytosis (HS)

    • HS is a common congenital haemolytic anaemia.
    • HS-1 is the most common form of HS.
    • It's caused by a genetic defect in at least one of five genes that code for red blood cell membrane anchoring proteins.
    • This results in spherocytes (dense red blood cells) that are osmotically fragile.
    • The reduced lifespan of these spherocytes leads to their destruction by the spleen.
    • Common symptoms include jaundice, haemolytic anaemia, and splenomegaly (enlarged spleen).
    • The severity of symptoms varies based on the specific defective protein.

    Patient Presentation

    • The patient presented with recurrent jaundice starting from day 3 of life.
    • Physical examination revealed splenomegaly.
    • There was no anaemia noted, and no family history of HS was reported.

    Laboratory Results

    • Laboratory tests revealed elevated levels of indirect hyperbilirubinemia.
    • There was also reticulocytosis (increased immature red blood cells) found.

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    Description

    This quiz delves into Hereditary Spherocytosis (HS), a congenital hemolytic anemia characterized by spherocyte formation due to genetic defects. It explores patient presentation, symptoms, and laboratory findings associated with HS, providing critical insights into this condition.

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