Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report

This case report describes a novel mutation of the SPTB gene as a potential pathogenic cause of spherocytosis. A 3-week-old male presented with clinical and laboratory signs consistent with hemolytic spherocytosis, including jaundice, hyperbilirubinemia, anemia, reticulocytosis, negative Coombs test...

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Main Authors: Daphna Varadi MD, Benjamin Caplan MD, Maria Scarano PhD, Rafat Ahmed MD
Format: Article
Language:English
Published: SAGE Publishing 2023-06-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096231180552
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author Daphna Varadi MD
Benjamin Caplan MD
Maria Scarano PhD
Rafat Ahmed MD
author_facet Daphna Varadi MD
Benjamin Caplan MD
Maria Scarano PhD
Rafat Ahmed MD
author_sort Daphna Varadi MD
collection DOAJ
description This case report describes a novel mutation of the SPTB gene as a potential pathogenic cause of spherocytosis. A 3-week-old male presented with clinical and laboratory signs consistent with hemolytic spherocytosis, including jaundice, hyperbilirubinemia, anemia, reticulocytosis, negative Coombs test, no ABO or Rh incompatibility, and a peripheral blood smear notable for numerous spherocytes. His laboratory work demonstrated persistent anemia despite daily folate prompting next-generation sequencing which revealed a novel mutation in the SPTB gene resulting in a nonfunctioning protein product. Correlation of the genetic finding with clinical presentation may help guide management for this and future patients.
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spelling doaj.art-8cba844072d845fd9ed99625312f29e62023-06-13T05:04:03ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962023-06-011110.1177/23247096231180552Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case ReportDaphna Varadi MD0Benjamin Caplan MD1Maria Scarano PhD2Rafat Ahmed MD3Cooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper University Health Care, Camden, NJ, USACooper University Health Care, Camden, NJ, USAThis case report describes a novel mutation of the SPTB gene as a potential pathogenic cause of spherocytosis. A 3-week-old male presented with clinical and laboratory signs consistent with hemolytic spherocytosis, including jaundice, hyperbilirubinemia, anemia, reticulocytosis, negative Coombs test, no ABO or Rh incompatibility, and a peripheral blood smear notable for numerous spherocytes. His laboratory work demonstrated persistent anemia despite daily folate prompting next-generation sequencing which revealed a novel mutation in the SPTB gene resulting in a nonfunctioning protein product. Correlation of the genetic finding with clinical presentation may help guide management for this and future patients.https://doi.org/10.1177/23247096231180552
spellingShingle Daphna Varadi MD
Benjamin Caplan MD
Maria Scarano PhD
Rafat Ahmed MD
Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report
Journal of Investigative Medicine High Impact Case Reports
title Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report
title_full Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report
title_fullStr Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report
title_full_unstemmed Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report
title_short Spherocytosis in Newborn Secondary to Novel Heterozygous Mutation in Gene: Case Report
title_sort spherocytosis in newborn secondary to novel heterozygous mutation in gene case report
url https://doi.org/10.1177/23247096231180552
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