Case 36 – update 1

Patients’ blood film looks like this:

beta thal

Ferritin level was also checked : 10 ug/l

Family origin questionnaire has been mentioned and should be performed at all antenatal visits.  However all women – in both high prevalence and low prevalence areas are offered screening blood tests for thalassaemia using initial results from routine red blood cell indices.

The HPLC for this lady shows:

hplc - beta thal minor

HbA2 level of 3.8%

How would you interpret this?

What are the potential causes of a raised A2 result?

Both parents are from Italy.

What do you do next?

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Anaemia, Haemoglobinopathy, Laboratory morphology and tagged , , , . Bookmark the permalink.

2 Responses to Case 36 – update 1

  1. shaimaa abdelmalik says:

    mostly beta thalassemia carrier for further confirmation by PCR for Mediterranean beta thalassemia gene mutations and investigating her partner also

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s