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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Format: | Article |
Language: | English |
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Ordem dos Médicos
2011-08-01
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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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format | Article |
id | doaj.art-cbaf479d3bd64d4c81c536df6a378fb7 |
institution | Directory Open Access Journal |
issn | 0870-399X 1646-0758 |
language | English |
last_indexed | 2024-04-11T10:25:19Z |
publishDate | 2011-08-01 |
publisher | Ordem dos Médicos |
record_format | Article |
series | Acta Médica Portuguesa |
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 |
work_keys_str_mv | AT alexandravaz doresosteoarticularesumcasodadoencadahbscalfatalassemia AT joanacapelo doresosteoarticularesumcasodadoencadahbscalfatalassemia AT borgesmartins doresosteoarticularesumcasodadoencadahbscalfatalassemia AT pedrohenriques doresosteoarticularesumcasodadoencadahbscalfatalassemia |