Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman

Background: Haemoglobinopathies are a major cause of morbidity in the Sultanate of Oman and premarital screening is being encouraged in order to reduce the number of affected births. The identification of β-thalassaemia carrier status is an essential prerequisite of any screening programme. However,...

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Main Authors: Shahina Daar, David Gravell
Format: Article
Language:English
Published: Sultan Qaboos University 2006-06-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1253
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author Shahina Daar
David Gravell
author_facet Shahina Daar
David Gravell
author_sort Shahina Daar
collection DOAJ
description Background: Haemoglobinopathies are a major cause of morbidity in the Sultanate of Oman and premarital screening is being encouraged in order to reduce the number of affected births. The identification of β-thalassaemia carrier status is an essential prerequisite of any screening programme. However, the level of Haemoglobin (Hb) A2, which is used to detect β-thalassaemia carriers, can be affected by other factors including iron deficiency, concurrent α thalassaemia and the type of DNA mutation present. Objectives:The following study was undertaken to ascertain if the Hb A2 level is an appropriate tool for the identification of β-thalassaemia carriers in the Omani population. Method: Hb A2 was measured by high performance liquid chromatography (HPLC) in 160 obligate carriers of β-thalassaemia. 158 subjects had Hb A2 levels above 3.5% indicating β-thalassaemia trait. Two subjects had slightly lower levels and were found to be iron deficient. After therapy both these subjects’ Hb A2 levels increased to above 3.5%. Conclusion: In the absence of iron deficiency, Hb A2 is an accurate marker for the presence of β-thalassaemia trait in the Sultanate of Oman.
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spelling doaj.art-3873b0fa5f2748a9996709d6c35f3db32022-12-21T22:11:03ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282006-06-016127311181Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of OmanShahina Daar0David Gravell1Department of Haematology, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of OmanDepartment of Haematology, Sultan Qaboos University Hospital, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman.Background: Haemoglobinopathies are a major cause of morbidity in the Sultanate of Oman and premarital screening is being encouraged in order to reduce the number of affected births. The identification of β-thalassaemia carrier status is an essential prerequisite of any screening programme. However, the level of Haemoglobin (Hb) A2, which is used to detect β-thalassaemia carriers, can be affected by other factors including iron deficiency, concurrent α thalassaemia and the type of DNA mutation present. Objectives:The following study was undertaken to ascertain if the Hb A2 level is an appropriate tool for the identification of β-thalassaemia carriers in the Omani population. Method: Hb A2 was measured by high performance liquid chromatography (HPLC) in 160 obligate carriers of β-thalassaemia. 158 subjects had Hb A2 levels above 3.5% indicating β-thalassaemia trait. Two subjects had slightly lower levels and were found to be iron deficient. After therapy both these subjects’ Hb A2 levels increased to above 3.5%. Conclusion: In the absence of iron deficiency, Hb A2 is an accurate marker for the presence of β-thalassaemia trait in the Sultanate of Oman.https://journals.squ.edu.om/index.php/squmj/article/view/1253hb a2 , β-thalassaemia trait, sultanate of oman
spellingShingle Shahina Daar
David Gravell
Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman
Sultan Qaboos University Medical Journal
hb a2 , β-thalassaemia trait, sultanate of oman
title Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman
title_full Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman
title_fullStr Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman
title_full_unstemmed Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman
title_short Diagnosis of Beta-Thalassaemia Carriers in the Sultanate of Oman
title_sort diagnosis of beta thalassaemia carriers in the sultanate of oman
topic hb a2 , β-thalassaemia trait, sultanate of oman
url https://journals.squ.edu.om/index.php/squmj/article/view/1253
work_keys_str_mv AT shahinadaar diagnosisofbetathalassaemiacarriersinthesultanateofoman
AT davidgravell diagnosisofbetathalassaemiacarriersinthesultanateofoman