PMID- 23624969 OWN - NLM STAT- MEDLINE DCOM- 20131031 LR - 20220331 IS - 1476-5543 (Electronic) IS - 0743-8346 (Linking) VI - 33 IP - 5 DP - 2013 May TI - A neonate with Coombs-negative hemolytic jaundice with spherocytes but normal erythrocyte indices: a rare case of autosomal-recessive hereditary spherocytosis due to alpha-spectrin deficiency. PG - 404-6 LID - 10.1038/jp.2012.67 [doi] AB - The diagnosis of hereditary spherocytosis (HS) in a newborn infant is generally made on the basis of a positive family history, spherocytes on blood film and Coombs-negative hemolytic jaundice of variable severity with an elevated mean corpuscular hemoglobin concentration (MCHC) and a low mean corpuscular volume (MCV). In general, sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) quantification of erythrocyte membrane proteins is not needed to make the clinical diagnosis of HS. However, we observed that a neonate with no family history of HS, but with abundant spherocytosis on repeated blood films, Coombs-negative hemolytic jaundice and normal MCHC and MCV measurements, where SDS-PAGE revealed alpha-spectrin deficiency, a rare autosomal-recessive variety of HS that generally has a severe clinical phenotype. FAU - Yaish, H M AU - Yaish HM AD - Division of Hematology/Oncology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA. FAU - Christensen, R D AU - Christensen RD FAU - Agarwal, A AU - Agarwal A LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Perinatol JT - Journal of perinatology : official journal of the California Perinatal Association JID - 8501884 RN - 12634-43-4 (Spectrin) SB - IM MH - Coombs Test MH - Erythrocyte Indices MH - Humans MH - Infant, Newborn MH - Jaundice/*blood MH - Male MH - Spectrin/*deficiency MH - Spherocytes MH - Spherocytosis, Hereditary/blood/*etiology EDAT- 2013/04/30 06:00 MHDA- 2013/11/01 06:00 CRDT- 2013/04/30 06:00 PHST- 2013/04/30 06:00 [entrez] PHST- 2013/04/30 06:00 [pubmed] PHST- 2013/11/01 06:00 [medline] AID - jp201267 [pii] AID - 10.1038/jp.2012.67 [doi] PST - ppublish SO - J Perinatol. 2013 May;33(5):404-6. doi: 10.1038/jp.2012.67.