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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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HBF<br />

8269<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<br />

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

Lippincott 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<br />

F 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 />

hemoglobin F concentration is often slightly increased. Higher concentrations of hemoglobin F occur in<br />

hemoglobin S/beta O-thalassemia, in patients who are doubly heterozygous for the hemoglobin S gene,<br />

and in patients who have a gene for hereditary persistence of fetal hemoglobin (HPFH). These disorders<br />

may be differentiated by family studies or by flow cytometry studies for fetal hemoglobin, which<br />

reveals uniform intraerythrocytic distribution of hemoglobin F in HPFH and nonuniform distribution in<br />

hemoglobin S/beta-thalassemia. The electrophoretic finding of small quantities of hemoglobin A in a<br />

patient who has mostly hemoglobin S and a moderate increase in hemoglobin F is strong evidence of<br />

hemoglobin S/beta zero thalassemia (if the patient has not had a transfusion).<br />

Useful For: Quantitating the percent of fetal hemoglobin present Assisting in the diagnosis of<br />

disorders with elevated levels of fetal hemoglobin<br />

Interpretation: See Clinical Information and Reference Values.<br />

Reference Values:<br />

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

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

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 879

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