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The doctor who performed the autopsy on Ashley “A.J.” Jewell said Sickle Cell Anemia may have contributed to the death of the ex-fiance of “Real Housewives of Atlanta” cast member Kandi Burruss.

As you know Jewell, 34, died Oct. 2 after getting into a fight with Body Tap employee Frederick Richardson in the strip club’s parking lot. Richardson is being held without bond, charged with voluntary manslaughter.

Investigators have learned that sickle cell runs in Jewell’s family, though he may not have been aware he had the disease. The disorder, which strikes mostly African-Americans, decreases the red blood cells’ flexibility and carries a risk of various medical complications. The average life expectancy of males with the disease is 42.

Jewell might not have been able to replenish the oxygen used up in the fight with Richardson, Rose said. “That’s what happens with these sudden deaths,” she said.

Atlanta Police said Jewell sustained a hard blow to the head and was beaten to death. At Richardson’s last hearing, his attorney, Dennis Scheib, argued unsuccessfully that, without a cause of death, there is nothing to support a voluntary manslaughter charge.