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The prevalence of anemia and hemoglobinopathies in the hematologic clinics of the kermanshah province, Western iran.
[alpha-thalassemia]
Hemoglobinopathies
are
the
most
common
single
gene
disorders
worldwide
with
a
considerable
frequency
in
certain
area
particularly
Mediterranean
and
Middle
Eastern
countries
.
Hemoglobinopathies
include
structural
variants
of
hemoglobin
(
Hb
S
,
Hb
C
,
HbE
,
…
)
and
thalassaemias
which
are
inherited
defects
in
the
globin
chains
synthesis
.
The
present
study
was
conducted
to
determine
the
prevalence
of
hemoglobinopathies
in
western
Iranian
patients
.
A
total
of
344
patients
(
151
males
and
193
females
)
with
abnormal
CBC
and
/
or
hemoglobin
electrophoresis
were
enrolled
in
the
present
study
.
Cellulose
acetate
gel
electrophoresis
was
performed
for
all
patients
and
abnormal
bands
were
identified
by
citrate
agar
gel
electrophoresis
and
PCR
based
methods
.
Iron
deficiency
anemia
(
IDA
)
was
present
in
156
(
45
.
3
%
)
individuals
.
Thirty
four
(
9
.
8
%
)
patients
had
both
iron
deficiency
anemia
and
α-thalassemia
trait
trait
,
41
(
11
.
9
%
)
patients
were
with
both
iron
deficiency
anemia
and
minor
β-thalassemia
.
There
were
31
(
9
%
)
patients
with
α-thalassemia
trait
and
5
(
2
.
2
%
)
patients
with
Hb
H
disease
.
Fifty
six
(
16
.
2
%
)
patients
had
minor
β-thalassemia
.
Also
,
there
were
10
(
2
.
9
%
)
individuals
homozygous
for
hemoglobin
D-
Punjab
and
one
patient
with
hemoglobin
G
(
0
.
3
%
)
.
There
was
one
sample
with
hemoglobin
C
.
Further
,
we
found
3
patients
(
0
.
9
%
)
with
sickle
cell
trait
and
more
3
patients
(
0
.
8
%
)
with
S
/
β
+
-
thalassemia
.
Our
results
indicated
that
the
most
frequent
cause
of
hypochromic
and
/
or
microcytic
anemia
in
our
population
was
IDA
and
the
minor
β-thalassemia
was
the
second
cause
that
needs
to
more
attention
in
screening
programs
.
Diseases
Validation
Diseases presenting
"that the most frequent cause of hypochromic"
symptom
alpha-thalassemia
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