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This case report aims to highlight the diagnostic challenges and clinical features of compound heterozygous sickle cell-beta thalassemia.

May 16, 2026CureusOpen Access

Compound Heterozygous Sickle Cell-Beta Thalassemia Presenting As Chronic Hemolytic Anemia With Microcytosis and Prominent Left Ventricular Trabeculation: A Case Report

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This case report aims to highlight the diagnostic challenges and clinical features of compound heterozygous sickle cell-beta thalassemia.
Detailed clinical examination and laboratory evaluation including hemoglobin analysis and echocardiography.
Exclusion of infectious causes and other hematological disorders through serological tests and cultures.
Longitudinal clinical assessment over eight days to monitor symptoms and laboratory findings.
Patient presented with hemoglobin levels of 6.3-7.9 g/dL, indicative of severe anemia and ongoing hemolysis.
Laboratory findings included microcytosis and indirect hyperbilirubinemia, with elevated lactate dehydrogenase and low haptoglobin.
Echocardiography revealed prominent left ventricular trabeculations, suggesting cardiac remodeling due to chronic anemia.

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Case report reveals sickle cell-beta thalassemia diagnosis in a young man, indicating its rare presence in Assam.

Radhakrishnan et al. (2026) studied this question.

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