Fetal hemoglobin levels and morbidity in untransfused patients with β-thalassemia intermedia.

Abstract:

:To evaluate the association between fetal hemoglobin (HbF) levels and morbidity in β-thalassemia intermedia (TI), we analyzed data from 63 untransfused patients who had also never received HbF induction therapy. Patient records were reviewed for any history of 10 predefined morbidities. Laboratory measurements for markers of ineffective erythropoiesis were also obtained. The mean age of patients was 32.1 years, 47.6% were males, and the median HbF level was 37.2%. HbF levels correlated positively with total hemoglobin, yet negatively with growth differentiation factor-15 and non-transferrin-bound iron levels. Median HbF levels were significantly lower in patients with the majority of evaluated morbidities than in those without. There was a strong negative adjusted linear correlation between the HbF level and the total number of morbidities (R(2) = 0.825, P < .001). The HbF threshold of 63.7% had 95.5% sensitivity and 100% specificity for ensuring absence of morbidity. There exists a strong association between HbF levels and morbidity in the subset of untransfused patients with TI.

journal_name

Blood

journal_title

Blood

authors

Musallam KM,Sankaran VG,Cappellini MD,Duca L,Nathan DG,Taher AT

doi

10.1182/blood-2011-09-382408

subject

Has Abstract

pub_date

2012-01-12 00:00:00

pages

364-7

issue

2

eissn

0006-4971

issn

1528-0020

pii

blood-2011-09-382408

journal_volume

119

pub_type

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