Newborn screening for Hb H disease by determination of Hb Bart's using the Sebia capillary electrophoresis system in southern China.

Abstract:

:Hb H (β4) disease is an inherited hemoglobin (Hb) defect in which three of the four α-globin genes are deleted or dysfunctional. The clinical manifestations vary widely from mild asymptomatic anemia to a severely anemic state. Recent literature suggests that Hb H disease is not as benign a disorder as previously thought. Newborn screening for Hb H disease is especially appealing because the screening test is based on the detection of Hb Bart's (γ4) that is only possible within the newborn period. In a 2-year period of newborn screening, 18 babies were found to have Hb H disease in a total of 9490 newborns. The overall prevalence for Hb H disease among all newborns in southern China is approximately 1 in 500. The correct diagnosis would allow affected infants to be properly cared for and reduce mortality rate.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Liao C,Zhou JY,Xie XM,Tang HS,Li R,Li DZ

doi

10.3109/03630269.2013.853674

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

73-5

issue

1

eissn

0363-0269

issn

1532-432X

journal_volume

38

pub_type

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