Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma

A pre-transfusion blood sample with a well-spread and well-stained peripheral smear is indispensible for diagnosis of hemolytic anemia. However, apparent hemoglobinopathies have been reported in previous literature. They are known to cause delay in diagnosis and treatment. We report a case of newly...

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Main Authors: Richa Chauhan, Sunita Sharma, Preeti Rai, Jagdish Chandra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Applied Hematology
Subjects:
Online Access:http://www.jahjournal.org/article.asp?issn=1658-5127;year=2014;volume=5;issue=1;spage=19;epage=22;aulast=Chauhan
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author Richa Chauhan
Sunita Sharma
Preeti Rai
Jagdish Chandra
author_facet Richa Chauhan
Sunita Sharma
Preeti Rai
Jagdish Chandra
author_sort Richa Chauhan
collection DOAJ
description A pre-transfusion blood sample with a well-spread and well-stained peripheral smear is indispensible for diagnosis of hemolytic anemia. However, apparent hemoglobinopathies have been reported in previous literature. They are known to cause delay in diagnosis and treatment. We report a case of newly diagnosed β-thalassemia major infant, in which an abnormal peak was seen at retention time 4.71 minutes on Hemoglobin-High Performance Liquid Chromatography (Hb-HPLC). This peak was associated with history of recent blood transfusion and was confirmed by family study and with repeated values of HPLC.
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spelling doaj.art-150035d7322b4b838f1a7d251cfcd8602022-12-21T18:39:48ZengWolters Kluwer Medknow PublicationsJournal of Applied Hematology1658-51272014-01-0151192210.4103/1658-5127.131821Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemmaRicha ChauhanSunita SharmaPreeti RaiJagdish ChandraA pre-transfusion blood sample with a well-spread and well-stained peripheral smear is indispensible for diagnosis of hemolytic anemia. However, apparent hemoglobinopathies have been reported in previous literature. They are known to cause delay in diagnosis and treatment. We report a case of newly diagnosed β-thalassemia major infant, in which an abnormal peak was seen at retention time 4.71 minutes on Hemoglobin-High Performance Liquid Chromatography (Hb-HPLC). This peak was associated with history of recent blood transfusion and was confirmed by family study and with repeated values of HPLC.http://www.jahjournal.org/article.asp?issn=1658-5127;year=2014;volume=5;issue=1;spage=19;epage=22;aulast=ChauhanHemoglobinopathyhigh performance liquid chromatographytransfusionβ-thalassemia major
spellingShingle Richa Chauhan
Sunita Sharma
Preeti Rai
Jagdish Chandra
Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma
Journal of Applied Hematology
Hemoglobinopathy
high performance liquid chromatography
transfusion
β-thalassemia major
title Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma
title_full Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma
title_fullStr Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma
title_full_unstemmed Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma
title_short Transfusion associated unknown peak on HPLC chromatogram: A diagnostic dilemma
title_sort transfusion associated unknown peak on hplc chromatogram a diagnostic dilemma
topic Hemoglobinopathy
high performance liquid chromatography
transfusion
β-thalassemia major
url http://www.jahjournal.org/article.asp?issn=1658-5127;year=2014;volume=5;issue=1;spage=19;epage=22;aulast=Chauhan
work_keys_str_mv AT richachauhan transfusionassociatedunknownpeakonhplcchromatogramadiagnosticdilemma
AT sunitasharma transfusionassociatedunknownpeakonhplcchromatogramadiagnosticdilemma
AT preetirai transfusionassociatedunknownpeakonhplcchromatogramadiagnosticdilemma
AT jagdishchandra transfusionassociatedunknownpeakonhplcchromatogramadiagnosticdilemma