Incidental finding of beta thalassemia in a patient with high obstetric risk

Authors

DOI:

https://doi.org/10.33448/rsd-v13i8.46124

Keywords:

Anemia; Beta thalassemia; Hemoglobin; Blood proteins electrophoresis; Pregnancy.

Abstract

Thalassemia is a set of genetic anomalies produced by an inadequate hemoglobin synthesis, the illness rank goes from symptomatology to fetal death. This case was studied and its main target includes to highlight clinical aspects, diagnosis treatment and patient´s quality of life. Data was gathered from patient´s medical record and the NCBI served as reference source. The patients presents anemia with hemoglobin deficiency, hematocrit, VCM, HCM, and CHCM. The total serum iron levels and saturation percentage are markedly diminished. Besides the high resolution capillary electrophoresis indicates an abnormal pattern with suggestive bands of beta thalassemia. In the week 32, a fetal growth control ultrasound detected a profile disturbance with a Doppler study abnormal placental fetus. The diagnosis indicates intrauterine growth restriction phase 1 and the gestation has to be ended in the week 37. The neonatal result is and under weight new born. These kind of patients require a multidisciplinary approach that includes an exhaustive monitoring, a personalizad prenatal care and careful child birth planification.

References

Abid, S. J., & Najim, I. J. (2023). The prevalence of undiagnosed thalassemia minor among primigravida pregnant women before 20 weeks of gestation. Journal of Advanced Pharmaceutical Technology & Research, 14(3). https://journals.lww.com/japtr/fulltext/2023/14030/the_prevalence_of_undiagnosed_thalassemia_minor.20.aspx

Abu-Shaheen, A., Heena, H., Nofal, A., Abdelmoety, D. A., Almatary, A., Alsheef, M., & AlFayyad, I. (2020). Epidemiology of Thalassemia in Gulf Cooperation Council Countries: A Systematic Review. BioMed Research International, 2020, 1-15. https://doi.org/10.1155/2020/1509501

Aixalá, M. T. F. (2017). Anemia microcítica-hipocrómica: anemia ferropénica versus b talasemia menor. Acta Bioquímica Clínica Latinoamericana, 51(3), 291-305. https://www.redalyc.org/articulo.oa?id=53553013004

Alli, N. A., Patel, H. M., Pool, J., Goga, Y., & Krause, A. (2021). Thalassaemia (part 1). South African Medical Journal, 111(6), 529-534. https://doi.org/10.7196/SAMJ.2021.v111i6.15724

Amooee, S., Samsami, A., Jahanbakhsh, J., & Karimi, M. (2011). The pregnancy outcome in patients with minor β-thalassemia. En Iranian Journal of Reproductive Medicine (Vol. 9, Número 1).

Anuruksuwan, P., Sirilert, S., Luewan, S., & Tongsong, T. (2024). Impacts of β-thalassemia/hemoglobin E disease on pregnancy outcomes. International Journal of Gynecology & Obstetrics, n/a(n/a). https://doi.org/https://doi.org/10.1002/ijgo.15360

Carrara, J., Habibi, A., Benachi, A., & Cheminet, G. (2023). Sickle cell disease and pregnancy. La Presse Médicale, 52(4), 104203. https://doi.org/10.1016/J.LPM.2023.104203

Farmakis, D., Porter, J., Taher, A., Domenica Cappellini, M., Angastiniotis, M., Eleftheriou, A., & Taskforce*, for the 2021 T. I. F. G. (2022). 2021 Thalassaemia International Federation Guidelines for the Management of Transfusion-dependent Thalassemia. HemaSphere, 6(8). https://journals.lww.com/hemasphere/fulltext/2022/08000/2021_thalassaemia_international_federation.6.aspx

Hokland, P., Daar, S., Khair, W., Sheth, S., Taher, A. T., Torti, L., Hantaweepant, C., & Rund, D. (2023). Thalassaemia—A global view. British Journal of Haematology, 201(2), 199-214. https://doi.org/https://doi.org/10.1111/bjh.18671

Kattamis, A., Forni, G. L., Aydinok, Y., & Viprakasit, V. (2020). Changing patterns in the epidemiology of β‐thalassemia. European Journal of Haematology, 105(6), 692-703. https://doi.org/10.1111/ejh.13512

Kattamis, A., Kwiatkowski, J. L., & Aydinok, Y. (2022). Thalassaemia. The Lancet, 399(10343), 2310-2324. https://doi.org/10.1016/S0140-6736(22)00536-0

Kumar, V., Abbas, A. K., & Aster, J. C. (2021). Robbins Y Cotran. Patología Estructural Y Funcional (10.a ed.). Elsevier Health Sciences.

Lao, T. T. (2017). Obstetric care for women with thalassemia. Best Practice & Research Clinical Obstetrics & Gynaecology, 39, 89-100. https://doi.org/10.1016/J.BPOBGYN.2016.09.002

Leung, T. Y., & Lao, T. T. (2012). Thalassaemia in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology, 26(1), 37-51. https://doi.org/10.1016/J.BPOBGYN.2011.10.009

Luk’yanenko, V., Droogh, M., Ulrik, &, & Overgaard, M. (2017). Talassaemier og graviditet. https://ugeskriftet.dk/videnskab/talassaemier-og-graviditet

Mohammed, E. A., & Muhammed, N. A. (2023). Effect of Maternal Beta-Thalassemia Minor on Obstetrical and Neonatal Outcomes in Kirkuk Province, Iraq. Al- Anbar Medical Journal, 19(2), 135-140. https://doi.org/10.33091/amj.2023.140349.1155

Ruangvutilert, P., Phatihattakorn, C., Yaiyiam, C., & Panchalee, T. (2023). Pregnancy outcomes among women affected with thalassemia traits. Archives of Gynecology and Obstetrics, 307(2), 431-438. https://doi.org/10.1007/s00404-022-06519-y

Shah, F. T., Nicolle, S., Garg, M., Pancham, S., Lieberman, G., Anthony, K., & Mensah, A. K. (2024). Guideline for the Management of Conception and Pregnancy in Thalassaemia Syndromes: A British Society for Haematology Guideline. British Journal of Haematology, n/a(n/a). https://doi.org/https://doi.org/10.1111/bjh.19362

Vlachodimitropoulou, E., Mogharbel, H., Kuo, K. H. M., Hwang, M., Ward, R., Shehata, N., & Malinowski, A. K. (2024). Pregnancy outcomes and iron status in β-thalassemia major and intermedia: a systematic review and meta-analysis. Blood Advances, 8(3), 746-757. https://doi.org/10.1182/bloodadvances.2023011636

Wu, L.-S., Luo, X., Tan, M., Zhang, L.-J., Luo, H.-F., Huang, G., Huang, P., Chen, J., & Chen, Y. (2024). Prevalence of thalassemia-carrier couples and fertility risk assessment. International Journal of Hematology, 119(4), 374-382. https://doi.org/10.1007/s12185-024-03722-2

Published

02/08/2024

How to Cite

LOPEZ MUÑOZ, D. F.; AGUDELO VALENCIA, D. A. .; CRUZ BECERRA, O. E. .; RAMIREZ MUÑOZ, S.; SANCHEZ ESCOBAR, M. .; TRIVINO MONTOYA, T. M. .; CIFUENTES MUÑOZ, M. A. . Incidental finding of beta thalassemia in a patient with high obstetric risk. Research, Society and Development, [S. l.], v. 13, n. 8, p. e0713846124, 2024. DOI: 10.33448/rsd-v13i8.46124. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46124. Acesso em: 6 sep. 2024.

Issue

Section

Health Sciences