Sickle cell trait or Sickle cell disease

Patient

Q: Baby 16 month old blood test results Hb A 58% , Hb S 35.5%. Is my baby ill? what form of thalasemia is or its sickle cell?

Symptoms:  She looks a bit white in the face,but palms and eyes are ok
Doctor

A:   Hello,
Thanks for the query to ATD for an opinion,

Presence of HbS (35%- which should be ideally zero after 8 months), but with a higher proportion of HbA than HbS is - Sickle cell trait (HbAS) or sickle α-thalassemia.

So your daughter has either of the two. This needs an evaluation by the haematologist and further examination by the paediatrician for signs of cyanosis.

I hope i have answered your query specifically,
Regards

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