Abstract
We report a case of compound heterozygous hemoglobins S [β6(A3)Glu6Val] and Korle-Bu [β73(E17)Asp73Asn] in a 2-year-old girl. This hemoglobin genotype is associated with a benign clinical course, much like the sickle cell trait; however, its laboratory characteristics are very similar to compound heterozygous hemoglobin S and hemoglobin D-Los Angeles [β121(GH4)Glu121Gln], which produces severe sickling hemolytic anemia. We describe laboratory data used to resolve this important differential diagnosis and review the interactions between hemoglobin S and the variant hemoglobins that may account for the different clinical phenotypes in compound heterozygotes.
Original language | English (US) |
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Pages (from-to) | 20-24 |
Number of pages | 5 |
Journal | Laboratory Hematology |
Volume | 15 |
Issue number | 3 |
DOIs | |
State | Published - Sep 1 2009 |
Keywords
- 3-Dimensional molecular characteristics
- Hemoglobin Korle-Bu
- Hemoglobin S
- Hemoglobin β-chain variants
ASJC Scopus subject areas
- Hematology
- Clinical Biochemistry
- Biochemistry, medical