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HBF<br />

8269<br />

usually easily identified in the hemoglobin electrophoresis protocol. However, alpha-thalassemias that are<br />

from only 1 or 2 alpha-globin gene deletions are not recognized. Unfortunately, there is no easy test for<br />

the diagnosis of these alpha-thalassemias (see AGPB/9499 Alpha-Globin Gene Analysis).<br />

Alpha-thalassemia trait itself is a harmless condition.<br />

Useful For: Diagnosis of thalassemias and hemoglobin variants Evaluation of unexplained<br />

microcytosis<br />

Interpretation: The types of hemoglobin present are identified, quantitated, and an interpretive report<br />

is issued.<br />

Reference Values:<br />

HEMOGLOBIN A<br />

1-30 days: 5.9-77.2%<br />

1-2 months: 7.9-92.4%<br />

3-5 months: 54.7-97.1%<br />

6-8 months: 80.0-98.0%<br />

9-12 months: 86.2-98.0%<br />

13-17 months: 88.8-98.0%<br />

18-23 months: 90.4-98.0%<br />

> or =24 months: 95.8-98.0%<br />

HEMOGLOBIN A2<br />

1-30 days: 0.0-2.1%<br />

1-2 months: 0.0-2.6%<br />

3-5 months: 1.3-3.1%<br />

> or =6 months: 2.0-3.3%<br />

HEMOGLOBIN F<br />

1-30 days: 22.8-92.0%<br />

1-2 months: 7.6-89.8%<br />

3-5 months: 1.6-42.2%<br />

6-8 months: 0.0-16.7%<br />

9-12 months: 0.0-10.5%<br />

13-17 months: 0.0-7.9%<br />

18-23 months: 0.0-6.3%<br />

> or =24 months: 0.0-0.9%<br />

VARIANT<br />

No abnormal variants<br />

VARIANT 2<br />

No abnormal variants<br />

VARIANT 3<br />

No abnormal variants<br />

Clinical References: Hoyer JD, Hoffman DR: The Thalassemia and hemoglobinopathy syndromes.<br />

In Clinical Laboratory Medicine. 2nd edition. Edited by KD McMlatchey. Philadelphia, Lippincott<br />

Williams and Wilkins, 2002, pp 866-895<br />

Hemoglobin F, Blood<br />

Clinical Information: Fetal hemoglobin concentration is usually between 5% to 15% of the total<br />

hemoglobin in the high F or delta/beta-type of thalassemia minor. In beta-thalassemia major, fetal<br />

hemoglobin may be 30% to 90% or even more of the total hemoglobin. Slight increases in hemoglobin F<br />

concentration are found in a variety of unrelated hematologic disorders, such as aplastic anemia,<br />

hereditary spherocytosis, and myeloproliferative disorders. In homozygous sickle cell disease,<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 874

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