PMID- 21879000 OWN - NLM STAT- MEDLINE DCOM- 20120320 LR - 20211203 IS - 1476-5543 (Electronic) IS - 0743-8346 (Linking) VI - 31 IP - 9 DP - 2011 Sep TI - Evaluating neonatal hyperbilirubinemia in late preterm Hispanic twins led to the diagnosis of hereditary spherocytosis in them, and in their sibling and in their mother. PG - 625-7 LID - 10.1038/jp.2010.212 [doi] AB - We identified four cases of hereditary spherocytosis (HS) in one Utah family, originally from Southwestern Mexico. The index cases were twin girls born at 35 weeks gestation, in whom the combination of hyperbilirubinemia, reticulocytosis and elevated mean corpuscular hemoglobin concentration (MCHC) led to studies that confirmed the diagnosis of HS. Scleral icterus in their 4-year-old sibling and in their mother led to the diagnosis of HS in them as well. Although much less commonly reported in Hispanic neonates than in those of Northern European ancestry, HS does occur among Hispanic neonates and can contribute to significant neonatal hyperbilirubinemia. These cases are consistent with our earlier report, which identified an MCHC cutoff of >36 as suggestive of further evaluation for HS. FAU - Sheffield, M J AU - Sheffield MJ AD - Women and Newborns Clinical Program, Intermountain Healthcare, Salt Lake City, UT 84403, USA. Mark.sheffield@imail.org FAU - Christensen, R D AU - Christensen RD LA - eng PT - Case Reports PT - Journal Article PT - Twin Study PL - United States TA - J Perinatol JT - Journal of perinatology : official journal of the California Perinatal Association JID - 8501884 SB - IM MH - Adult MH - Diseases in Twins MH - Female MH - Hispanic or Latino MH - Humans MH - Hyperbilirubinemia, Neonatal/*blood/*diagnosis MH - Infant, Newborn MH - Neonatal Screening MH - Premature Birth MH - Spherocytosis, Hereditary/*blood/*diagnosis EDAT- 2011/09/01 06:00 MHDA- 2012/03/21 06:00 CRDT- 2011/09/01 06:00 PHST- 2011/09/01 06:00 [entrez] PHST- 2011/09/01 06:00 [pubmed] PHST- 2012/03/21 06:00 [medline] AID - jp2010212 [pii] AID - 10.1038/jp.2010.212 [doi] PST - ppublish SO - J Perinatol. 2011 Sep;31(9):625-7. doi: 10.1038/jp.2010.212.