Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report
Sickle haemoglobin (HbS) is the most common abnormal haemoglobin mutation worldwide. In Uganda, according to the Uganda Sickle Surveillance Study (US3), the overall prevalence of sickle cell trait and disease is 13.3% and 0.7%, respectively. SCD presents with numerous complications. Acute Soft Head...
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2024-12-01
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| author | Abukar Ali Ahmed Dalton Kambale Munyambalu Awil Abdulkadir Abdi Elias Joseph Xwatsal Hanan Asad Hassan Ibrahim Ahmed Nur Abdikani Ali Hassan Venance Emmanuel Mswelo |
| author_facet | Abukar Ali Ahmed Dalton Kambale Munyambalu Awil Abdulkadir Abdi Elias Joseph Xwatsal Hanan Asad Hassan Ibrahim Ahmed Nur Abdikani Ali Hassan Venance Emmanuel Mswelo |
| author_sort | Abukar Ali Ahmed |
| collection | DOAJ |
| description | Sickle haemoglobin (HbS) is the most common abnormal haemoglobin mutation worldwide. In Uganda, according to the Uganda Sickle Surveillance Study (US3), the overall prevalence of sickle cell trait and disease is 13.3% and 0.7%, respectively. SCD presents with numerous complications. Acute Soft Head Syndrome (ASHS) or sickle cell cephalohematoma is among the rare complications of SCD. We report a 14-year-old adolescent male, a resident of rural Western Uganda, who presented with a history of non-traumatic painless scalp swelling for a week and multiple joints pain for 5 days. He had a similar swelling in the previous six months, which subsided after blood transfusion given at a nearby health facility. There was a history of on-and-off fever, easy fatiguability, and generalized body weakness. Complete blood counts revealed anemia, Haemoglobin Electrophoresis confirmed Sickle Cell Anemia. Head Computed Tomography concluded a subgaleal fluid collection. The diagnosis of acute soft head syndrome was established in a newly diagnosed SCD patient. This case highlights a rare diagnosis of acute soft head syndrome as well as a late diagnosis of SCD in adolescent in rural settings. In such settings, the pre-existing poor socio-economic background coupled with atypical presentation constitute a major impediment for timely diagnosis. |
| format | Article |
| id | doaj-art-b19bae47383e40869f1e89bc1a21e0e0 |
| institution | Kabale University |
| issn | 2960-1428 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | QAASPA Publisher |
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| spelling | doaj-art-b19bae47383e40869f1e89bc1a21e0e02025-01-10T21:54:26ZengQAASPA PublisherBioMed Target Journal2960-14282024-12-0122717410.59786/bmtj.22728Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case ReportAbukar Ali Ahmed0https://orcid.org/0009-0005-8710-8421Dalton Kambale Munyambalu1https://orcid.org/0000-0002-7055-6552Awil Abdulkadir Abdi2https://orcid.org/0009-0001-1983-3470Elias Joseph Xwatsal3https://orcid.org/0009-0008-7379-0441Hanan Asad Hassan4https://orcid.org/0009-0005-2161-7290Ibrahim Ahmed Nur5https://orcid.org/0009-0004-6097-0102Abdikani Ali Hassan6https://orcid.org/0009-0006-9272-9529Venance Emmanuel Mswelo7https://orcid.org/0009-0009-9362-9943Department of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, 20000, UgandaSickle haemoglobin (HbS) is the most common abnormal haemoglobin mutation worldwide. In Uganda, according to the Uganda Sickle Surveillance Study (US3), the overall prevalence of sickle cell trait and disease is 13.3% and 0.7%, respectively. SCD presents with numerous complications. Acute Soft Head Syndrome (ASHS) or sickle cell cephalohematoma is among the rare complications of SCD. We report a 14-year-old adolescent male, a resident of rural Western Uganda, who presented with a history of non-traumatic painless scalp swelling for a week and multiple joints pain for 5 days. He had a similar swelling in the previous six months, which subsided after blood transfusion given at a nearby health facility. There was a history of on-and-off fever, easy fatiguability, and generalized body weakness. Complete blood counts revealed anemia, Haemoglobin Electrophoresis confirmed Sickle Cell Anemia. Head Computed Tomography concluded a subgaleal fluid collection. The diagnosis of acute soft head syndrome was established in a newly diagnosed SCD patient. This case highlights a rare diagnosis of acute soft head syndrome as well as a late diagnosis of SCD in adolescent in rural settings. In such settings, the pre-existing poor socio-economic background coupled with atypical presentation constitute a major impediment for timely diagnosis.https://qaaspa.com/index.php/bmtj/article/view/28acute soft head syndromesickle cell diseaserural |
| spellingShingle | Abukar Ali Ahmed Dalton Kambale Munyambalu Awil Abdulkadir Abdi Elias Joseph Xwatsal Hanan Asad Hassan Ibrahim Ahmed Nur Abdikani Ali Hassan Venance Emmanuel Mswelo Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report BioMed Target Journal acute soft head syndrome sickle cell disease rural |
| title | Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report |
| title_full | Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report |
| title_fullStr | Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report |
| title_full_unstemmed | Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report |
| title_short | Acute Soft Head Syndrome as the Initial Presentation of Sickle Cell Disease in an Adolescent in Rural Western Uganda: Case Report |
| title_sort | acute soft head syndrome as the initial presentation of sickle cell disease in an adolescent in rural western uganda case report |
| topic | acute soft head syndrome sickle cell disease rural |
| url | https://qaaspa.com/index.php/bmtj/article/view/28 |
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