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A member asked:
My 5 yo is being tested for hereditary spherocytosis. low hgb detected on standard cbc. hgb is 11.5-12.1. no other sx. will he need spleenectomy??
A doctor has provided 1 answer
Not @ that level: I wonder if he has HS if his hgb level is that high ( low -nl) if it were 7-9 it might be worrisome Splenectomy is not automatic and often delayed as long as possible to help the kid build his immune system (spleen helps). Some infections can trigger worrisome drops in their hgb level, but if not in crisis by age 5 he may get by without it.
Answered 4/21/2019
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