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14 April 2026 : Case report  USA

Hemoglobin San Diego: A Case Report and Review of the Literature

Challenging differential diagnosis, Rare disease

Matthew L. Repp ABEF 1*, Brandon McMahon ABEF 1,2

DOI: 10.12659/AJCR.951364

Am J Case Rep 2026; 27:e951364

Table 1 Laboratory test results in the evaluation of primary and secondary causes of erythrocytosis.

TestResultReference range
CBCHemoglobin (g/dL)18.714.3–18.1
Hematocrit (%)53.939.2–50.2
Red blood cell count (10/L)5.814.76–6.09
Mean corpuscular volume (fL)92.880.0–100.0
White blood cell count (10/L)5.64.0–11.1
Platelet count (10/L)96150–400
Erythrocytosis evaluationJAK2 V617F mutation analysis (PCR)NegativeNegative
JAK2 exon 12 mutation analysis (PCR)NegativeNegative
Erythropoietin (mU/mL)224–27
Testosterone (ng/dL)490.24123.06–813.86
Hemoglobin stability testNormalNormal
Genetic testingGene: HBB; legacy nomenclature: β109 GTG>ATG (Val>Met), heterozygousNormal
CBC – complete blood count; HBB – hemoglobin subunit beta gene; JAK2 – Janus kinase 2; PCR – polymerase chain reaction.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923