2018
DOI: 10.21037/atm.2018.07.35
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Old and new insights into the diagnosis of hereditary spherocytosis

Abstract: Hereditary spherocytosis (HS) belongs to the group of congenital hemolytic anemias resulting from plasma membrane protein deficiency. When diagnosed too late, HS bares the risk of long-term complications including gall stones and severe anemia. Here, there are discussed advances in HS screening and diagnostics, with a particular focus on methodologies, most of which are available in clinical laboratories worldwide.

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Cited by 34 publications
(36 citation statements)
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“…[12][13][14][15]30 However, hereditary spherocytosis in the blood donors is estimated through the prevalence with increased osmotic RBC fragility, which may not be accurate. 14,15,29,31 Despite these limitations in estimates, our prevalence for the youngest stratum (<20 years) could indicate that the HS prevalence in the population is approximately 1/2000.…”
Section: Prevalencementioning
confidence: 80%
See 1 more Smart Citation
“…[12][13][14][15]30 However, hereditary spherocytosis in the blood donors is estimated through the prevalence with increased osmotic RBC fragility, which may not be accurate. 14,15,29,31 Despite these limitations in estimates, our prevalence for the youngest stratum (<20 years) could indicate that the HS prevalence in the population is approximately 1/2000.…”
Section: Prevalencementioning
confidence: 80%
“…As the hereditary spherocytosis, in general, is considered rare and nearly endemic to northern Europe, the increase is probably driven by improved and intensified diagnostics, rather than a true increase in population prevalence. 9,12,29 The prevalence of hereditary spherocytosis continues to rise, probably reflecting that in this group of congenital RBC disorders, a group of patients remain undiagnosed in the population.…”
Section: Prevalencementioning
confidence: 99%
“…1 Genetic mutations in plasma membrane proteins result in an unstable red blood cell membrane-cytoskeleton interaction resulting in higher risk for hemolysis triggered by stressors including fever, hypoxia, or viral infection. [1][2][3] Splenic clearance of damaged red blood cells results in anemia, thus patients are treated with supportive transfusions or splenectomy in severely affected patients. 4,5 The novel virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), emerged in Wuhan province in China in December 2019 and has affected over 7 million people globally as of June 2020.…”
Section: Covid-19 and Hereditary Spherocytosis: A Recipe For Hemolysismentioning
confidence: 99%
“…Tyler S. Severance 1,2,3 Mahvish Q. Rahim 1,2,3 James French II 1,2,3 Richelle M. Baker 1,2,4 Andrew Shriner 1,2,4 Alka Khaitan 1,2,5 Kathleen M.…”
Section: Conflict Of Interestunclassified
“…Hereditary spherocytosis is a form of hemolytic anemia that is characterized by increased RBC fragility due to a number of known genetic mutations in RBC plasma membrane proteins [1]. Clinical presentation is variable, ranging from a lack of symptoms to jaundice, severe anemia requiring transfusion and/or splenectomy, gallstones, and aplastic crises in the setting of viral infections [2].…”
mentioning
confidence: 99%