Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.

Sickle cell disease is an inherited chronic haemolytic anaemia whose clinical manifestations arise from the tendency of the haemoglobin to polymerize and deform red blood cells into the characteristic sickle shape (HbS), with vaso-occlusive phenomena, pain and organ damage. Sickle cell anaemia, the...

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Main Authors: Alexandra Vaz, Joana Capelo, Borges Martins, Pedro Henriques
Format: Article
Language:English
Published: Ordem dos Médicos 2011-08-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/455
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author Alexandra Vaz
Joana Capelo
Borges Martins
Pedro Henriques
author_facet Alexandra Vaz
Joana Capelo
Borges Martins
Pedro Henriques
author_sort Alexandra Vaz
collection DOAJ
description Sickle cell disease is an inherited chronic haemolytic anaemia whose clinical manifestations arise from the tendency of the haemoglobin to polymerize and deform red blood cells into the characteristic sickle shape (HbS), with vaso-occlusive phenomena, pain and organ damage. Sickle cell anaemia, the prototype disease, is the homozygous state and represents the most severe form of sickle cell disease. A variety of other sickle cell syndromes are a result of an interaction between HbS and certain variant haemoglobins as HbC and thalassemia. We describe the case of a 28-year-old, black man, with recurrent episodes of musculoskeletal pain. Physical examination revealed spenomegaly. Laboratory tests showed haemolytic anemia and microcytosis. The peripheral blood smear revealed frequent target cells. The high performance liquid chromatography (HPLC) detected the absence of HbA, increased HbA2 and the presence of HbS and HbC, in equal amounts. In this case, we want to draw attention to less common and non-rheumatic causes of musculoskeletal pain as well as alert to the importance of early diagnosis of sickle cell disease that can minimize and prevent many of its complications.
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spelling doaj.art-cbaf479d3bd64d4c81c536df6a378fb72022-12-22T04:29:38ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582011-08-0124310.20344/amp.455Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.Alexandra Vaz0Joana CapeloBorges MartinsPedro HenriquesServiço de Medicina I, Hospital S. Teotónio, Viseu.Sickle cell disease is an inherited chronic haemolytic anaemia whose clinical manifestations arise from the tendency of the haemoglobin to polymerize and deform red blood cells into the characteristic sickle shape (HbS), with vaso-occlusive phenomena, pain and organ damage. Sickle cell anaemia, the prototype disease, is the homozygous state and represents the most severe form of sickle cell disease. A variety of other sickle cell syndromes are a result of an interaction between HbS and certain variant haemoglobins as HbC and thalassemia. We describe the case of a 28-year-old, black man, with recurrent episodes of musculoskeletal pain. Physical examination revealed spenomegaly. Laboratory tests showed haemolytic anemia and microcytosis. The peripheral blood smear revealed frequent target cells. The high performance liquid chromatography (HPLC) detected the absence of HbA, increased HbA2 and the presence of HbS and HbC, in equal amounts. In this case, we want to draw attention to less common and non-rheumatic causes of musculoskeletal pain as well as alert to the importance of early diagnosis of sickle cell disease that can minimize and prevent many of its complications.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/455
spellingShingle Alexandra Vaz
Joana Capelo
Borges Martins
Pedro Henriques
Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.
Acta Médica Portuguesa
title Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.
title_full Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.
title_fullStr Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.
title_full_unstemmed Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.
title_short Dores osteo-articulares: um caso da doença da HbSC/alfa-talassémia.
title_sort dores osteo articulares um caso da doenca da hbsc alfa talassemia
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/455
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AT joanacapelo doresosteoarticularesumcasodadoencadahbscalfatalassemia
AT borgesmartins doresosteoarticularesumcasodadoencadahbscalfatalassemia
AT pedrohenriques doresosteoarticularesumcasodadoencadahbscalfatalassemia