a rare case report of hereditary elliptocytosis with hemoglobin d trait

Hereditary elliptocytosis is an autosomal dominant condition wherein the erythrocytes are cigar or oval shaped. It is a type of haemolytic anaemia caused due to defects in red cell membrane cytoskeletal proteins. We present a case of a patient with branchial cyst whose peripheral blood smear examination for anaemia revealed elliptocytes and a high reticulocyte count. Further work up with high pressure liquid chromatography showed that the patient had Hb D trait also. The co-existence of these two conditions is an extremely rare entity.