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Table 1 Clinical and genetic features of proband D, proband W and their immediate family members

From: Two different pathogenic gene mutations coexisted in the same hereditary spherocytosis family manifested with heterogeneous phenotypes

 

proband D before splenectomy

proband D after splenectomy

proband D’s father

proband D’s mother

proband W before splenectomy

proband W after splenectomy

proband W’s father

proband W’s mother

proband W’s brother

Age (Y)

25

26

50

49

20

24

48

48

18

Sex

M

M

M

F

F

F

M

F

M

Spleen (mm below rib)

60

/

Not palpable

Not palpable

100

/

Not palpable

32

27

Cholelithiasis

Y

/

N

N

Y

/

N

N

N

HBV carrier

Y

Y

Y

N

N

N

N

NA

N

HB (g/l)

125

181

152

125

114

163

159

114

150

MCV (fl)

85.7

83.7

88.7

91.4

79.8

88.4

91.2

84.7

92.5

MCH (pg)

28.4

27.1

29.2

29.9

29.9

32.0

31.2

30.1

33.0

MCHC (g/l)

332

323

329

327

374

364

343

355

356

Ret (×1012/l)

0.334

NA

0.084

0.061

0.373

0.081

0.138

0.145

0.188

Spherocyte (%)

13.6

NA

8

1

15

30

10

19.6

18

TBIL (μmol/l)

73.1

19.1

12.8

7.6

74.0

27.3

19.3

31.7

29.2

DBIL (μmol/l)

7.3

8.3

4.2

2.9

19.4

7.3

5.7

12.6

12.1

LDH (U/l)

224.9

NA

239

171.9

226.4

869.9

254.4

188.7

307.4

SPTB

c.4873 C > T

p.R1625X

 

Y

N

N

 

N

N

N

N

SLC4A1

c.1469G > A

p. R490H

N

N

N

Y

N

Y

Y

  1. HB hemoglobin, MCV mean corpuscular volume, MCH mean corpuscular hemoglobin, MCHC mean corpuscular hemoglobin concentration, Ret reticulocytes, TBIL total bilirubin, DBIL direct bilirubin, LDH lactate dehydrogenase, SPTB spectrin β, SLC4A1 solute carrier family 4 member 1, M male, F female, Y Yes, N No, NA not available