A case report of neonatal hereditary spherocytosis with a new mutation in the ANK1 gene
To analyze the clinical features,diagnosis and treatment process,and genetic testing results of a case diagnosed with hereditary spherocytosis (HS) in the neonatal period.The case was jaundice and spherical red blood cells were accounting for 30% on peripheral blood smear.Gene sequencing analysis showed that there was one heterozygous mutation in the ANK1 gene.The same site mutation was detected in her mother,and who had a similar medical history.The gene mutation site was not included in the Human Gene Mutation Database (HGMD) and had not been reported in the literature,and it was a new mutation.The clinical phenotype of HS was non-specific,and it was mainly manifested as neonatal hyperunconjugated bilirubinemia in the early neonatal period,and anemia appears about 1 week after birth.Genetic testing was an important means of detecting the cause of hemolytic anemia in Coombs-negative neonates and infants.