HEREDITARY SPHEROCYTOSIS IN MOTHER AND NEONATE DIAGNOSED BY ANEMIA AND HYPERBILIRUBINEMIA IN THE NEONATE

Abstract

We experienced a case of hereditary spherocytosis in both mother and neonate diagnosed by anemia and hyperbilirubinemia in the neonate. Phototherapy was effective against the neonatal jaundice ; however, anemia became severe and necessitated a blood transfusion. The mother had been diagnosed with hemolytic anemia, cholelithiasis, and splenomegaly at the age of 20 and had a cholecystectomy and splenectomy with no follow-up thereafter. There was no advance of the anemia nor hemolytic crisis during the pregnancy; however, LDH and total bilirubin increased in the last stage of pregnancy. With hereditary spherocytosis in mother, perinatal health care management is required for her, as well as for the neonate who may well have anemia and hyperbilirubinemia.