Sickle cell anemia may have played a significant role in the death of Ashley “AJ” Jewell, the ex-fiancé of Real Housewives of Atlanta star Kandi Burress, The Atlanta Journal-Constitution reported Thursday.

Fulton County Associate Medical Examiner Dr. Kelly Rose has revealed that preliminary autopsy results led her to believe that AJ, who died two weeks ago after a brawl in the parking lot of an Atlanta strip club, suffered from the life long blood disorder that inhibits oxygen flow to tissues in the body.

“…It’s most likely that Jewell was worked up from the fight — and because of his condition, it’s probable that he couldn’t replenish the oxygen he lost during the incident … which the Dr. says could have fatal consequences.”

The father of six suffered severe head injuries during the fight at Body Tap. He was rushed to Piedmont Hospital, and later died.