Patients’ blood film looks like this:
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:
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?