Laboratory medicine · 2015
Differentiation Between Sickle Cell Anemia and S/β⁰ Thalassemia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Fanestil Vichaka, Van Siclen Carleen
Аннотация
CLINICAL HISTORY PATIENT: 37-year-old man of half African and half Italian ethnicity.
CHIEF COMPLAINT: Sickle cell crisis (SCC).
HISTORY OF PRESENT ILLNESS: The patient had severe pain in his lower back that radiated to both thighs. He had been admitted twice in the previous 2 weeks at another hospital due to SCC. Each time, he had been discharged with a prescription for oxycodone. His condition did not respond to the pain medicine; his pain remained uncontrollable.
MEDICAL HISTORY: The patient has had multiple sickle cell crises since childhood and is a former smoker. He denied alcohol consumption or illegal drug use.
PHYSICAL EXAMINATION FINDINGS: The patient had normal vital signs. No splenomegaly was present.
FAMILY HISTORY: Both parents carry sickle cell thalassemia.
PRINCIPAL LABORATORY FINDINGS: Table 1, Table 2, and Image 1.
CHIEF COMPLAINT: Sickle cell crisis (SCC).
HISTORY OF PRESENT ILLNESS: The patient had severe pain in his lower back that radiated to both thighs. He had been admitted twice in the previous 2 weeks at another hospital due to SCC. Each time, he had been discharged with a prescription for oxycodone. His condition did not respond to the pain medicine; his pain remained uncontrollable.
MEDICAL HISTORY: The patient has had multiple sickle cell crises since childhood and is a former smoker. He denied alcohol consumption or illegal drug use.
PHYSICAL EXAMINATION FINDINGS: The patient had normal vital signs. No splenomegaly was present.
FAMILY HISTORY: Both parents carry sickle cell thalassemia.
PRINCIPAL LABORATORY FINDINGS: Table 1, Table 2, and Image 1.