Guidelines for the diagnosis and management of hereditary spherocytosis--2011 update.

Abstract:

:Guidelines on hereditary spherocytosis (HS) published in 2004 (Bolton-Maggs et al, 2004) are here replaced to reflect changes in current opinion on the surgical management, (particularly the indications for concomitant splenectomy with cholecystectomy in children with mild HS, and concomitant cholecystectomy with splenectomy in those with asymptomatic gallstones). Further potential long term hazards of splenectomy are now recognised. Advances have been made in our understanding of the biochemistry of the red cell membrane which underpins the choice of tests. Biochemical assays of membranes proteins and genetic analysis may be indicated (rarely) to diagnose atypical cases. The diagnostic value of the eosin-5-maleimide (EMA) binding test has been validated in a number of studies with understanding of its limitations.

journal_name

Br J Haematol

authors

Bolton-Maggs PH,Langer JC,Iolascon A,Tittensor P,King MJ,General Haematology Task Force of the British Committee for Standards in Haematology.

doi

10.1111/j.1365-2141.2011.08921.x

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

37-49

issue

1

eissn

0007-1048

issn

1365-2141

journal_volume

156

pub_type

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