The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran

Hemoglobinopathies are the most common single gene disorders worldwide with a considerable frequency in certain area particularly Mediterranean and Middle Eastern countries. Hemoglobinopathies include structural variants of hemoglobin (Hb S, Hb C, HbE,…) and thalassaemias which are inherited defects...

Full description

Bibliographic Details
Main Authors: Mehrdad Payandeh, Zohreh Rahimi, Mohammad Erfan Zare, Atefeh Nasir Kansestani, Farzad Gohardehi, Amir Hossein Hashemian
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2014-06-01
Series:International Journal of Hematology-Oncology and Stem Cell Research
Subjects:
Online Access:https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/422
_version_ 1797718970461061120
author Mehrdad Payandeh
Zohreh Rahimi
Mohammad Erfan Zare
Atefeh Nasir Kansestani
Farzad Gohardehi
Amir Hossein Hashemian
author_facet Mehrdad Payandeh
Zohreh Rahimi
Mohammad Erfan Zare
Atefeh Nasir Kansestani
Farzad Gohardehi
Amir Hossein Hashemian
author_sort Mehrdad Payandeh
collection DOAJ
description Hemoglobinopathies are the most common single gene disorders worldwide with a considerable frequency in certain area particularly Mediterranean and Middle Eastern countries. Hemoglobinopathies include structural variants of hemoglobin (Hb S, Hb C, HbE,…) and thalassaemias which are inherited defects in the globin chains synthesis. The present study was conducted to determine the prevalence of hemoglobinopathies in western Iranian patients. A total of 344 patients (151 males and 193 females) with abnormal CBC and/or hemoglobin electrophoresis were enrolled in the present study. Cellulose acetate gel electrophoresis was performed for all patients and abnormal bands were identified by citrate agar gel electrophoresis and PCR based methods. Iron deficiency anemia (IDA) was present in 156 (45.3%) individuals. Thirty four (9.8%) patients had both iron deficiency anemia and α-thalassemia trait trait, 41(11.9%) patients were with both iron deficiency anemia and minor β-thalassemia. There were 31(9%) patients with α-thalassemia trait and 5 (2.2%) patients with Hb H disease. Fifty six (16.2%) patients had minor β-thalassemia. Also, there were 10 (2.9%) individuals homozygous for hemoglobin D-Punjab and one patient with hemoglobin G (0.3%). There was one sample with hemoglobin C. Further, we found 3 patients (0.9%) with sickle cell trait and more 3 patients (0.8%) with S/ β +-thalassemia. Our results indicated that the most frequent cause of hypochromic and/or microcytic anemia in our population was IDA and the minor β-thalassemia was the second cause that needs to more attention in screening programs.
first_indexed 2024-03-12T08:57:58Z
format Article
id doaj.art-a4e24afa5c9f43a8bb9175888333b1ec
institution Directory Open Access Journal
issn 2008-2207
language English
last_indexed 2024-03-12T08:57:58Z
publishDate 2014-06-01
publisher Tehran University of Medical Sciences
record_format Article
series International Journal of Hematology-Oncology and Stem Cell Research
spelling doaj.art-a4e24afa5c9f43a8bb9175888333b1ec2023-09-02T15:53:06ZengTehran University of Medical SciencesInternational Journal of Hematology-Oncology and Stem Cell Research2008-22072014-06-0182408The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western IranMehrdad Payandeh0Zohreh Rahimi1Mohammad Erfan Zare2Atefeh Nasir Kansestani3Farzad Gohardehi4Amir Hossein Hashemian5Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. AND Nosocomial Infection Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. AND Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.Student Research Committee, Mazandaran University of Medical Sciences, Mazandaran, Iran.Department of Biostatistics, Faculty of Public Health, Kermanshah University of Medical Science, Kermanshah, Iran.Hemoglobinopathies are the most common single gene disorders worldwide with a considerable frequency in certain area particularly Mediterranean and Middle Eastern countries. Hemoglobinopathies include structural variants of hemoglobin (Hb S, Hb C, HbE,…) and thalassaemias which are inherited defects in the globin chains synthesis. The present study was conducted to determine the prevalence of hemoglobinopathies in western Iranian patients. A total of 344 patients (151 males and 193 females) with abnormal CBC and/or hemoglobin electrophoresis were enrolled in the present study. Cellulose acetate gel electrophoresis was performed for all patients and abnormal bands were identified by citrate agar gel electrophoresis and PCR based methods. Iron deficiency anemia (IDA) was present in 156 (45.3%) individuals. Thirty four (9.8%) patients had both iron deficiency anemia and α-thalassemia trait trait, 41(11.9%) patients were with both iron deficiency anemia and minor β-thalassemia. There were 31(9%) patients with α-thalassemia trait and 5 (2.2%) patients with Hb H disease. Fifty six (16.2%) patients had minor β-thalassemia. Also, there were 10 (2.9%) individuals homozygous for hemoglobin D-Punjab and one patient with hemoglobin G (0.3%). There was one sample with hemoglobin C. Further, we found 3 patients (0.9%) with sickle cell trait and more 3 patients (0.8%) with S/ β +-thalassemia. Our results indicated that the most frequent cause of hypochromic and/or microcytic anemia in our population was IDA and the minor β-thalassemia was the second cause that needs to more attention in screening programs.https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/422AnemiaHemoglobinopathiesIron deficiency anemiaα-thalassemiaβ-thalassemia
spellingShingle Mehrdad Payandeh
Zohreh Rahimi
Mohammad Erfan Zare
Atefeh Nasir Kansestani
Farzad Gohardehi
Amir Hossein Hashemian
The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran
International Journal of Hematology-Oncology and Stem Cell Research
Anemia
Hemoglobinopathies
Iron deficiency anemia
α-thalassemia
β-thalassemia
title The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran
title_full The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran
title_fullStr The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran
title_full_unstemmed The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran
title_short The Prevalence of Anemia and Hemoglobinopathies in the Hematologic Clinics of the Kermanshah Province, Western Iran
title_sort prevalence of anemia and hemoglobinopathies in the hematologic clinics of the kermanshah province western iran
topic Anemia
Hemoglobinopathies
Iron deficiency anemia
α-thalassemia
β-thalassemia
url https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/422
work_keys_str_mv AT mehrdadpayandeh theprevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT zohrehrahimi theprevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT mohammaderfanzare theprevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT atefehnasirkansestani theprevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT farzadgohardehi theprevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT amirhosseinhashemian theprevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT mehrdadpayandeh prevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT zohrehrahimi prevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT mohammaderfanzare prevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT atefehnasirkansestani prevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT farzadgohardehi prevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran
AT amirhosseinhashemian prevalenceofanemiaandhemoglobinopathiesinthehematologicclinicsofthekermanshahprovincewesterniran