Araştırma Makalesi

Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre

Cilt: 46 Sayı: 2 11 Haziran 2019
  • Promil Jain *
  • Monika Gupta
  • Shivani Dua
  • Nisha Marwah
  • Meenu Gill
  • Rajeev Sen

Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre

Öz

Objective: To find out the prevalence of thalassemias and various other hemoglobinopathies in state of Haryana and to assess the role of High performance liquid chromatography (HPLC) for accurate and quick diagnosis of various hemoglobin disorders.

Methods: This study was conducted in Pt. B. D. Sharma, PGIMS, Rohtak from July 2010 to October 2016 for hemoglobin variant screening by HPLC of total of 4275 patients, selected through multistage random sampling technique.

Results: Among 4275 total cases surveyed, normal hemoglobin pattern was observed in 3862 (90.3%) and abnormal hemoglobin fractions on HPLC were detected in 413 (9.7%). Βeta (β) thalassemia trait was predominant abnormality found in a total of 318 cases (7.4%). There were 19 cases of β-thalassemia major and 24 of β-thalassemia intermedia. Other abnormal patterns found were HbE (trait in 11 and HbE disease in 6 cases), Hb S (2 cases each of sickle cell disease and sickle cell trait), 2 cases of high Hb F (1 case each of heterozygous and homozygous HPFH), 11 cases of Hb D Punjab along with 2 cases of Hb D Iran, 1 case of Hb C and 2 cases each of double heterozygotes for Hb E/ β-thalassemia and Hb S/ β-thalassemia.

Conclusion: There is high prevalence of hemoglobinopathies in this region and HPLC forms a rapid and accurate tool in early detection and management of various hemoglobinopathies.

Anahtar Kelimeler

Kaynakça

  1. 1. Edward J. Benz Jr. Disorders of Hemoglobin Chapter 104, in Harrision’s Principle of Internal Medicine, 18th edition, 2011; 1: 852-61.
  2. 2. Tyagi S, Saxena R, Choudhry VP. HPLC--how necessary is it forhaemoglobinopathy diagnosis in India? Indian J Pathol Microbiol 2003; 46: 390-3.
  3. 3. WHO- EXECUTIVE BOARD EB118/5, 118th Session Report by the Secretariat on Thalassemia and other hemoglobinopathies: Prevalence of Hemoglobinopathies. 11 May 2006,p1-8.
  4. 4. Balgir RS. The genetic burden of hemoglobinopathies with special reference to community health in India and the challenges ahead. Indian Journal of Hematology and Blood Transfusion. 2002; 20: 2-7.
  5. 5. Joutovsky A, Hadzi-Nesic J, Nardi M. HPLC retention time as diagnostic tool for hemoglobin variants and hemoglobinopathies: A study of 60,000 samples in clinical diagnostic laboratory. Clinical chemistry. 2004; 50: 1736-47.
  6. 6. Alamiry AAN, Ali TH, Majeed MN. Detection of hemoglobinopathies in hypochromic, microcytic and sickeled cell blood films by haemoglobin electrophoresis. Thi-Qar medical journal (TQMJ): 2011; 5: 139-48.
  7. 7. Bravo-Urquiola M, Arends A, Montilla S, et all. Advantages in the use of high performance chromatography technique for screening hemoglobinopathies in Venezuela. Invest Clin2004; 45: 309-15.
  8. 8. Verma P, Ghildiyal A, Verma D, et all. Prevalence of hemoglobinopathies in different regions and castes of Uttar Pradesh, India- A hospital based study. Asian J Med Sci 2015; 6: 21-5.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

11 Haziran 2019

Gönderilme Tarihi

8 Eylül 2017

Kabul Tarihi

7 Haziran 2018

Yayımlandığı Sayı

Yıl 2019 Cilt: 46 Sayı: 2

Kaynak Göster

APA
Jain, P., Gupta, M., Dua, S., Marwah, N., Gill, M., & Sen, R. (2019). Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre. Dicle Medical Journal, 46(2), 269-276. https://doi.org/10.5798/dicletip.539869
AMA
1.Jain P, Gupta M, Dua S, Marwah N, Gill M, Sen R. Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre. diclemedj. 2019;46(2):269-276. doi:10.5798/dicletip.539869
Chicago
Jain, Promil, Monika Gupta, Shivani Dua, Nisha Marwah, Meenu Gill, ve Rajeev Sen. 2019. “Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre”. Dicle Medical Journal 46 (2): 269-76. https://doi.org/10.5798/dicletip.539869.
EndNote
Jain P, Gupta M, Dua S, Marwah N, Gill M, Sen R (01 Haziran 2019) Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre. Dicle Medical Journal 46 2 269–276.
IEEE
[1]P. Jain, M. Gupta, S. Dua, N. Marwah, M. Gill, ve R. Sen, “Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre”, diclemedj, c. 46, sy 2, ss. 269–276, Haz. 2019, doi: 10.5798/dicletip.539869.
ISNAD
Jain, Promil - Gupta, Monika - Dua, Shivani - Marwah, Nisha - Gill, Meenu - Sen, Rajeev. “Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre”. Dicle Medical Journal 46/2 (01 Haziran 2019): 269-276. https://doi.org/10.5798/dicletip.539869.
JAMA
1.Jain P, Gupta M, Dua S, Marwah N, Gill M, Sen R. Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre. diclemedj. 2019;46:269–276.
MLA
Jain, Promil, vd. “Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre”. Dicle Medical Journal, c. 46, sy 2, Haziran 2019, ss. 269-76, doi:10.5798/dicletip.539869.
Vancouver
1.Promil Jain, Monika Gupta, Shivani Dua, Nisha Marwah, Meenu Gill, Rajeev Sen. Prevalence of Various Hemoglobinopathies-An Experience from Tertiary Care Centre. diclemedj. 01 Haziran 2019;46(2):269-76. doi:10.5798/dicletip.539869