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A Dutch Family with Hb Debrousse: Severe Anemia After Parvovirus B19 Infection
Authors:Peter van Balen  Merel van Wijnen  Paul HG Hogeman  Shulamiet Wittebol
Institution:1. Department of Internal Medicine, Meander Medical Centre, Amersfoort, The Netherlandspvanbalen@ziggo.nl;3. Department of Clinical Chemistry, Meander Medical Centre, Amersfoort, The Netherlands;4. Department of Pediatrics, Meander Medical Centre, Amersfoort, The Netherlands;5. Department of Internal Medicine, Meander Medical Centre, Amersfoort, The Netherlands
Abstract:Hb Debrousse β96(FG3)Leu→Pro] is an unstable hemoglobin (Hb) variant with high oxygen affinity. We describe a case of chronic compensated hemolysis in a 39-year-old woman in whom the variant was found. Soon after the diagnosis was made, she and her son were admitted to the hospital with severe anemia due to Parvovirus B19 infection. The son also appeared to have the Hb Debrousse variant. Parvovirus B19 infection is a life-threatening disease in patients with (compensated) hemolysis.
Keywords:Hemoglobinopathy  Hb Debrousse  Parvovirus B19  Hemolysis  Unstable hemoglobin (Hb)
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