Case contributed by Melbourne Uni Radiology Masters


Stuffy nose since birth.

Patient Data

Age: adult

Skull radiograph

The findings of a hair on-end appearances are characteristic of thalassemia.

Case Discussion

The skull findings are in keeping with an hemoglobinopathy, with differentials including: thalassemia major, sickle cell disease, hereditary spherocytosis, and, less likely, iron deficiency anemia. 

This patient is known to the service with the diagnosis of Thalassemia major.  

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Case information

rID: 42141
Published: 20th Jan 2016
Last edited: 15th Sep 2017
Tag: rmh
Inclusion in quiz mode: Included

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