Concurrent Presence of Haemoglobin S and Hemoglobin D in Pregnancy: A Case Report
Keywords:
Double heterozygous, HbSD, PregnancyAbstract
Introduction: Haemoglobinopathy is the clinical condition that arises from genetically abnormal structure or synthesis of the haemoglobin molecule. Among the inherited disorders of the blood, haemoglobinopathies and thalassemia constitute a major bulk of non- communicable genetic diseases in India. Heterozygous Haemoglobin Sickle Cell Disease (HbSC) is the second most frequent Haemoglobinopathy Behind Sickle Cell Anaemia (SCA). Compound heterozygous HbSD-Punjab is an uncommon haemoglobinopathy encountered in Indians. Hereby we have presented a case with clinical and laboratory findings of HbSD- Punjab accidentally diagnosed when a primigravida female came to the hospital with severe anaemia. Case Report: A 34-year-old primigravida came to the hospital with complaints of breathlessness. On a complete haemogram with a peripheral smear (CH with PS), it was revealed that haemoglobin was 7.6% and RBCs were normocytic normochromic with many nucleated RBCs (nRBCs). High-Performance Liquid Chromatography (HPLC) showed double heterozygosity for HbS and HbD. Conclusion: Double heterozygosity for HbSD is a rare disorder. Genetic Counselling is recommended. How to cite this article:Yevoor K, Arathi S, Choukimath S M, Muktawar
A A . Concurrent Presence of Haemoglobin S
and Hemoglobin D in Pregnancy: A Case Report
.Rec Adv Path Lab Med. 2024;10(1&2):4-6. DOI: https://doi.org/10.24321/2454.8642.202404
References
Jariwala T, Patel A, Patel R, Shah A, Shah H, Kariya T. A
case of compound heterozygous HbS and HbD disease
in premarital screening. Scholars J Med Case Rep. 2023
Jun;6:1295-8. [Google Scholar]
Rappaport VJ, Velazquez M, Williams K.
Hemoglobinopathies in pregnancy. Obstet Gynecol Clin
North Am. 2004;31(2):287-317. [PubMed] [Google
Scholar]
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Recent Advances in Pathology and Laboratory Medicine ( ISSN: 2454-8642 )

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
We, the undersigned, give an undertaking to the following effect with regard to our article entitled
“_______________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________” submitted for publication in (Journal title)________________________________________________ _______________________________________________________Vol.________, Year _________:-
1. The article mentioned above has not been published or submitted to or accepted for publication in any form, in any other journal.
2. We also vouchsafe that the authorship of this article will not be contested by anyone whose name(s) is/are not listed by us here.
3. I/We declare that I/We contributed significantly towards the research study i.e., (a) conception, design and/or analysis and interpretation of data and to (b) drafting the article or revising it critically for important intellectual content and on (c) final approval of the version to be published.
4. I/We hereby acknowledge ADRs conflict of interest policy requirement to scrupulously avoid direct and indirect conflicts of interest and, accordingly, hereby agree to promptly inform the editor or editor's designee of any business, commercial, or other proprietary support, relationships, or interests that I/We may have which relate directly or indirectly to the subject of the work.
5. I/We also agree to the authorship of the article in the following sequence:-
Authors' Names (in sequence) Signature of Authors
1. _____________________________________ _____________________________________
2. _____________________________________ _____________________________________
3. _____________________________________ _____________________________________
4. _____________________________________ _____________________________________
5. _____________________________________ _____________________________________
6. _____________________________________ _____________________________________
7. _____________________________________ _____________________________________
8. _____________________________________ _____________________________________
Important
(I). All the authors are required to sign independently in this form in the sequence given above. In case an author has left the institution/ country and whose whereabouts are not known, the senior author may sign on his/ her behalf taking the responsibility.
(ii). No addition/ deletion/ or any change in the sequence of the authorship will be permissible at a later stage, without valid reasons and permission of the Editor.
(iii). If the authorship is contested at any stage, the article will be either returned or will not be
processed for publication till the issue is solved.