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A young boy of African descent is taken to hospital with respiratory failure. His haemoglobin is 60 g/L.  Which of the following is the most likely diagnosis?Question 8Select one:a.Hb SS (sickle cell disease)b.beta thalassemia majorc.alpha thalassemiad.Hb C diseasee.Hb SA (sickle cell trait)

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A young boy of African descent is taken to hospital with respiratory failure. His haemoglobin is 60 g/L.  Which of the following is the most likely diagnosis?Question 8Select one:a.Hb SS (sickle cell disease)b.beta thalassemia majorc.alpha thalassemiad.Hb C diseasee.Hb SA (sickle cell trait)

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Solution

The most likely diagnosis for the young boy of African descent with respiratory failure and a haemoglobin level of 60 g/L is a. Hb SS (sickle cell disease).

Sickle cell disease is a severe hereditary form of anemia in which a mutated form of hemoglobin distorts the red blood cells into a crescent shape at low oxygen levels. It is most common among those of African descent. The symptoms include attacks of pain ("sickle-cell crisis"), anemia, swelling in the hands and feet, bacterial infections, and lung- and heart-related problems, such as respiratory failure.

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