Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal

Background: Thalassemia is a type of congenital anemia, where there is deficient synthesis of one or more type of globin subunits of normal hemoglobin. This study was undertaken with aims & objective to study the prevalence of thalassemia by comparing Red Blood Cell indices, Peripheral Blood Sme...

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Main Authors: Manish Kumar Das, Niraj Nepal, Prabesh Chaudhary
Format: Article
Language:English
Published: Nobel Medical College Teaching Hospital 2020-06-01
Series:Journal of Nobel Medical College
Subjects:
Online Access:https://www.nepjol.info/index.php/JoNMC/article/view/29529
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author Manish Kumar Das
Niraj Nepal
Prabesh Chaudhary
author_facet Manish Kumar Das
Niraj Nepal
Prabesh Chaudhary
author_sort Manish Kumar Das
collection DOAJ
description Background: Thalassemia is a type of congenital anemia, where there is deficient synthesis of one or more type of globin subunits of normal hemoglobin. This study was undertaken with aims & objective to study the prevalence of thalassemia by comparing Red Blood Cell indices, Peripheral Blood Smear and Electrophoresis in adult volunteers. Material and Methods: The study comprised of 518 cases attending hematological department, who were enrolled in our study after proper informed consent, of which 462 cases were further studied. All cases were subjected to blood sampling for estimation of Hemoglobin, red cell indices and peripheral blood smear. Those samples where peripheral blood smear and Red cell indices were suggestive of thalassemia were subjected to Bio-Rad High Performance Liquid Chromatography based electrophoresis to observe the presence of any abnormal hemoglobin. Results: The mean age of screening sample was 42.91 ± 16.85 years with minimum age of 18 years and maximum age of 85 years. The highest number of cases was in between 21-30 years age groups (19.5%) followed by 41-50 years (17.7%). In the study group, 299 (64.7%) cases were male and 163 (35.3%) cases were female. The prevalence of anemia was found to be 48.16% in males and 68.71% in females with overall prevalence of 55.41%. On electrophoresis reports, 19 cases were diagnosed with thalassemia. The only thalassemia observed was thalassemia minor. The prevalence of thalassemia was found to be 4.11%. Conclusion: Significantly high prevalence of thalassemia minor is found in healthy population.
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spelling doaj.art-239d749c9d1447a39a42774421634c802022-12-22T01:31:05ZengNobel Medical College Teaching HospitalJournal of Nobel Medical College2091-23312091-234X2020-06-0191414510.3126/jonmc.v9i1.2952929529Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern NepalManish Kumar Das0Niraj Nepal1Prabesh Chaudhary2Department of Pathology, Nobel Medical College Teaching Hospital, Biratnagar, NepalDepartment of Pathology, Nobel Medical College Teaching Hospital, Biratnagar, NepalDepartment of Pathology, Nobel Medical College Teaching Hospital, Biratnagar, NepalBackground: Thalassemia is a type of congenital anemia, where there is deficient synthesis of one or more type of globin subunits of normal hemoglobin. This study was undertaken with aims & objective to study the prevalence of thalassemia by comparing Red Blood Cell indices, Peripheral Blood Smear and Electrophoresis in adult volunteers. Material and Methods: The study comprised of 518 cases attending hematological department, who were enrolled in our study after proper informed consent, of which 462 cases were further studied. All cases were subjected to blood sampling for estimation of Hemoglobin, red cell indices and peripheral blood smear. Those samples where peripheral blood smear and Red cell indices were suggestive of thalassemia were subjected to Bio-Rad High Performance Liquid Chromatography based electrophoresis to observe the presence of any abnormal hemoglobin. Results: The mean age of screening sample was 42.91 ± 16.85 years with minimum age of 18 years and maximum age of 85 years. The highest number of cases was in between 21-30 years age groups (19.5%) followed by 41-50 years (17.7%). In the study group, 299 (64.7%) cases were male and 163 (35.3%) cases were female. The prevalence of anemia was found to be 48.16% in males and 68.71% in females with overall prevalence of 55.41%. On electrophoresis reports, 19 cases were diagnosed with thalassemia. The only thalassemia observed was thalassemia minor. The prevalence of thalassemia was found to be 4.11%. Conclusion: Significantly high prevalence of thalassemia minor is found in healthy population.https://www.nepjol.info/index.php/JoNMC/article/view/29529electrophoresishemoglobinopathythalassemia
spellingShingle Manish Kumar Das
Niraj Nepal
Prabesh Chaudhary
Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal
Journal of Nobel Medical College
electrophoresis
hemoglobinopathy
thalassemia
title Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal
title_full Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal
title_fullStr Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal
title_full_unstemmed Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal
title_short Screening for Thalassemia in Healthy Population at a Tertiary Care Hospital in Eastern Nepal
title_sort screening for thalassemia in healthy population at a tertiary care hospital in eastern nepal
topic electrophoresis
hemoglobinopathy
thalassemia
url https://www.nepjol.info/index.php/JoNMC/article/view/29529
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