Musculoskeletal pain: a case of disease HbSC/alpha-thalassemia.

Authors

  • Alexandra Vaz Serviço de Medicina I, Hospital S. Teotónio, Viseu.
  • Joana Capelo
  • Borges Martins
  • Pedro Henriques

DOI:

https://doi.org/10.20344/amp.455

Abstract

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.

Downloads

Download data is not yet available.

How to Cite

1.
Vaz A, Capelo J, Martins B, Henriques P. Musculoskeletal pain: a case of disease HbSC/alpha-thalassemia. Acta Med Port [Internet]. 2011 Aug. 12 [cited 2024 Mar. 29];24(3):467-74. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/455

Issue

Section

Arquivo Histórico