Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn

A term male newborn born to a mother who had hereditary spherocytosis presented with neonatal jaundice at 20 hours of life. Complete blood count showed hemoglobin 17.1 g/dL, MCV 104.2 fL, MCH 32.9 pg, and MCHC 31.6 g/dL. The patient had indirect hyperbilirubinemia requiring phototherapy. The maximum...

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Main Authors: Kanda Fanhchaksai, Suphara Manowong, Rungrote Natesirinilkul, Lalita Sathitsamitphong, Pimlak Charoenkwan
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2019/5925731
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author Kanda Fanhchaksai
Suphara Manowong
Rungrote Natesirinilkul
Lalita Sathitsamitphong
Pimlak Charoenkwan
author_facet Kanda Fanhchaksai
Suphara Manowong
Rungrote Natesirinilkul
Lalita Sathitsamitphong
Pimlak Charoenkwan
author_sort Kanda Fanhchaksai
collection DOAJ
description A term male newborn born to a mother who had hereditary spherocytosis presented with neonatal jaundice at 20 hours of life. Complete blood count showed hemoglobin 17.1 g/dL, MCV 104.2 fL, MCH 32.9 pg, and MCHC 31.6 g/dL. The patient had indirect hyperbilirubinemia requiring phototherapy. The maximum total bilirubin level was 12.15 mg/dL at 20 hours of life. Peripheral blood smear revealed spherocytes, crenated red cells, and polychromasia. A flow cytometric test with eosin-5-maleimide- (EMA-) labeled RBC was performed in the patient and parents. The fluorescence histograms of EMA-labeled RBC from the patient and mother were shifted to the left, and the fluorescence ratio when compared with normal was 0.69 and 0.84, respectively. The flow cytometric test with EMA is useful in supporting the diagnosis of hereditary spherocytosis during newborn period.
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institution Kabale University
issn 2090-6560
2090-6579
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-5b082b143a3043b4be962b870e542db32025-08-20T03:34:43ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/59257315925731Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a NewbornKanda Fanhchaksai0Suphara Manowong1Rungrote Natesirinilkul2Lalita Sathitsamitphong3Pimlak Charoenkwan4Research Cluster of Thalassemia and Red Blood Cell Disorders, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandA term male newborn born to a mother who had hereditary spherocytosis presented with neonatal jaundice at 20 hours of life. Complete blood count showed hemoglobin 17.1 g/dL, MCV 104.2 fL, MCH 32.9 pg, and MCHC 31.6 g/dL. The patient had indirect hyperbilirubinemia requiring phototherapy. The maximum total bilirubin level was 12.15 mg/dL at 20 hours of life. Peripheral blood smear revealed spherocytes, crenated red cells, and polychromasia. A flow cytometric test with eosin-5-maleimide- (EMA-) labeled RBC was performed in the patient and parents. The fluorescence histograms of EMA-labeled RBC from the patient and mother were shifted to the left, and the fluorescence ratio when compared with normal was 0.69 and 0.84, respectively. The flow cytometric test with EMA is useful in supporting the diagnosis of hereditary spherocytosis during newborn period.http://dx.doi.org/10.1155/2019/5925731
spellingShingle Kanda Fanhchaksai
Suphara Manowong
Rungrote Natesirinilkul
Lalita Sathitsamitphong
Pimlak Charoenkwan
Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn
Case Reports in Hematology
title Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn
title_full Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn
title_fullStr Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn
title_full_unstemmed Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn
title_short Flow Cytometric Test with Eosin-5-Maleimide for a Diagnosis of Hereditary Spherocytosis in a Newborn
title_sort flow cytometric test with eosin 5 maleimide for a diagnosis of hereditary spherocytosis in a newborn
url http://dx.doi.org/10.1155/2019/5925731
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AT rungrotenatesirinilkul flowcytometrictestwitheosin5maleimideforadiagnosisofhereditaryspherocytosisinanewborn
AT lalitasathitsamitphong flowcytometrictestwitheosin5maleimideforadiagnosisofhereditaryspherocytosisinanewborn
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