SUMMARY
The case of a 54-year eld woman who never
knew she had sickle cell anaemia until she
presented with a two week history of
weakness, fever.loss of appetite. nausea, easy
fatiquability and upper abdominal pains is
presented. She was a known hypertensive and
peptic ulcer disease prior to presentation. Her
Peripheral blood film and haemglobin
electrophoresis confirmed diagnosis of sickle
cell anaemia. It is highlighted that while
diagnosis commonly occurs in childhood,
symptomatology of the disease can occur in
middle-age or even at old age in very few
individuals with its attendant consequences
and implications. Routine Haemoglobin
electrophoresis, therefore, is recommended
for all patients with chronic/long standing
jaundice.