Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state

CONTEXT: Fetal hemoglobin (HbF) reduces to <1% few months after birth. However, it can persist beyond infancy into adult life in rare conditions such as delta-beta (δβ) thalassemia and hereditary persistence of HbF. δβ thalassemia is a relatively rare type of thalassemia due to decrease in both b...

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Main Authors: Promil Jain, Nisha Marwah, Niti Dalal, Richa Pawar, Meenu Gill, Sanjay Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Applied Hematology
Subjects:
Online Access:http://www.jahjournal.org/article.asp?issn=1658-5127;year=2022;volume=13;issue=1;spage=1;epage=4;aulast=Jain
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author Promil Jain
Nisha Marwah
Niti Dalal
Richa Pawar
Meenu Gill
Sanjay Kumar
author_facet Promil Jain
Nisha Marwah
Niti Dalal
Richa Pawar
Meenu Gill
Sanjay Kumar
author_sort Promil Jain
collection DOAJ
description CONTEXT: Fetal hemoglobin (HbF) reduces to <1% few months after birth. However, it can persist beyond infancy into adult life in rare conditions such as delta-beta (δβ) thalassemia and hereditary persistence of HbF. δβ thalassemia is a relatively rare type of thalassemia due to decrease in both beta and delta globin chain production. AIMS: This study aims to assess the hematological and high-performance liquid chromatography (HPLC) findings in δβ thalassemia. SETTINGS AND DESIGN: Cross-sectional observational study. SUBJECTS AND METHODS: The study was conducted in department of Clinical Pathology, PGIMS, Rohtak. On screening of 1197 patients over a period of around 1 year, a total of 13 cases of δβ thalassemia were detected by HPLC. STATISTICAL ANALYSIS USED: Not done. RESULTS: The age of presentation ranged from 1 to 42 years with a mean age of 22.8 years. Eleven cases were diagnosed as heterozygous δβ thalassemia and two as homozygous δβ thalassemia. CONCLUSIONS: δβ thalassemia is an uncommon cause of elevated HbF. Clinical and hematological parameters should be carefully analyzed for accurate diagnosis.
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spelling doaj.art-be81454ee4204d47a8ba24b8c5d0bdaa2022-12-22T03:29:18ZengWolters Kluwer Medknow PublicationsJournal of Applied Hematology1658-51272022-01-011311410.4103/joah.joah_198_20Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian statePromil JainNisha MarwahNiti DalalRicha PawarMeenu GillSanjay KumarCONTEXT: Fetal hemoglobin (HbF) reduces to <1% few months after birth. However, it can persist beyond infancy into adult life in rare conditions such as delta-beta (δβ) thalassemia and hereditary persistence of HbF. δβ thalassemia is a relatively rare type of thalassemia due to decrease in both beta and delta globin chain production. AIMS: This study aims to assess the hematological and high-performance liquid chromatography (HPLC) findings in δβ thalassemia. SETTINGS AND DESIGN: Cross-sectional observational study. SUBJECTS AND METHODS: The study was conducted in department of Clinical Pathology, PGIMS, Rohtak. On screening of 1197 patients over a period of around 1 year, a total of 13 cases of δβ thalassemia were detected by HPLC. STATISTICAL ANALYSIS USED: Not done. RESULTS: The age of presentation ranged from 1 to 42 years with a mean age of 22.8 years. Eleven cases were diagnosed as heterozygous δβ thalassemia and two as homozygous δβ thalassemia. CONCLUSIONS: δβ thalassemia is an uncommon cause of elevated HbF. Clinical and hematological parameters should be carefully analyzed for accurate diagnosis.http://www.jahjournal.org/article.asp?issn=1658-5127;year=2022;volume=13;issue=1;spage=1;epage=4;aulast=Jaindelta-beta thalassemiafetal hemoglobinheterozygoushigh-performance liquid chromatographyhomozygous
spellingShingle Promil Jain
Nisha Marwah
Niti Dalal
Richa Pawar
Meenu Gill
Sanjay Kumar
Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state
Journal of Applied Hematology
delta-beta thalassemia
fetal hemoglobin
heterozygous
high-performance liquid chromatography
homozygous
title Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state
title_full Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state
title_fullStr Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state
title_full_unstemmed Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state
title_short Delta beta thalassemia, a rare hemoglobin variant: An experience from nodal centre in North Indian state
title_sort delta beta thalassemia a rare hemoglobin variant an experience from nodal centre in north indian state
topic delta-beta thalassemia
fetal hemoglobin
heterozygous
high-performance liquid chromatography
homozygous
url http://www.jahjournal.org/article.asp?issn=1658-5127;year=2022;volume=13;issue=1;spage=1;epage=4;aulast=Jain
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