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Thalassemia and hemoglobin e in southern thai blood donors.
[alpha-thalassemia]
Thalassemia
and
hemoglobin
E
(
Hb
E
)
are
common
in
Thailand
.
Individuals
with
thalassemia
trait
usually
have
a
normal
hemoglobin
concentration
or
mild
anemia
.
Therefore
,
thalassemic
individuals
who
have
minimum
acceptable
Hb
level
may
be
accepted
as
blood
donors
.
This
study
was
aimed
at
determining
the
frequency
of
α-thalassemia
1
trait
,
β-thalassemia
trait
,
and
Hb
E
-
related
syndromes
in
Southern
Thai
blood
donors
.
One
hundred
and
sixteen
voluntary
blood
donors
,
Southern
Thailand
origin
,
were
recruited
for
thalassemia
and
Hb
E
screening
by
red
blood
cell
indices
/
dichlorophenolindophenol
precipitation
test
.
β-
Thalassemia
and
Hb
E
were
then
identified
by
high
performance
liquid
chromatography
and
4
common
α-thalassemia
deletions
were
characterized
by
a
single
tube-multiplex
gap-polymerase
chain
reaction
.
Overall
frequency
of
hemoglobinopathies
was
12
.
9
%
,
classified
as
follows
:
homozygous
α-thalassemia
2
(
1
.
7
%
)
,
heterozygous
α-thalassemia
1
(
1
.
7
%
)
,
heterozygous
β-thalassemia
without
α-thalassemia
(
0
.
9
%
)
,
heterozygous
Hb
E
without
α-thalassemia
(
5
.
2
%
)
,
double
heterozygotes
for
Hb
E
/
α-thalassemia
1
(
1
.
7
%
)
,
homozygous
Hb
E
without
α-thalassemia
(
0
.
9
%
)
,
and
homozygous
Hb
E
with
heterozygous
α-thalassemia
2
(
0
.
9
%
)
.
The
usefulness
of
thalassemia
screening
is
not
only
for
receiving
highly
effective
red
blood
cells
in
the
recipients
but
also
for
encouraging
the
control
and
prevention
program
of
thalassemia
in
blood
donors
.
Diseases
Validation
Diseases presenting
"high performance"
symptom
alpha-thalassemia
benign recurrent intrahepatic cholestasis
canavan disease
cystinuria
familial hypocalciuric hypercalcemia
neonatal adrenoleukodystrophy
pyruvate dehydrogenase deficiency
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