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Beta thalassemia trait in fetus - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   may i know whom i am chating with
Doctor :  

User :   sir i give below the details of the test result
Doctor :  
User :   sir
Doctor :   Yes, proceed
User :   Hb F
User :   HbA 2 6.2 % 1 - 4

Hb Adult 82 . 8 % 80 - 100
User :   Hb A 1 C 5 . 1 % 4 - 6
User :   Hb D 0.0 %
User :   Hb S 0.0 %
User :   Hb C 0.0 %

Hb E 0.0 %
User :   OTHERS 6 . 3
User :   OPINION : Hb Chromatographic Pattern suggestive of beta thalassemia trait .
Doctor :   Ok

User :   NOTE :

1 . HbF is the major haemoglobin of the fetus & newborn . With in

one year, it comes down to 2% . However, it can be as high as

5% at 12 - 24 months of age .
User :   Synthesis of HbF increases in about 25% of women in 2 nd

trimester of pregnancy ( may be upto 5% ).
User :   Increased A 2 may be seen in Beta thalassemia, sickle cell

anaemia, megalobastic anaemia, hyperthyroidism and some rare

haemoglobin disorders .
User :   In rare cases when B - thalassemia carriers have concomitant

Iron deficiency, HbA 2 levels may be reduced .
User :   Test done on BIO - RAD D -10 testing system using the dual program [ FOR

User :   can u pls intrepret and tell me sir about the report pls
Doctor :   Sure

Doctor :  
As it indicates HbA2 levels are raised
Doctor :   and the impression is the trait
Doctor :  
which is the same as we discussed in the afternoon
Doctor :   No problem with it

Doctor :  
You can take the opinion of a Pediatrician, as he is more into these cases
Doctor :  
rather than consulting a gynecologist
Doctor :  
that is one update I can give you
User :   as per point no. 1 it states that the hbf comes down to 2% however it can be as high s 5% whether it is not an issue sir
Doctor :   It does not have relavance

Doctor :   it is given for a newborn baby

Doctor :  
not for fetus
User :   ok sir hence even the new born baby will not have any problem by growth
Doctor :   Yes, that is a prospective one now
Doctor :  
and no relation with this report
Doctor :  
test needs to be repeated at that time
User :   ok sir i will consult pediatercial and revert to you sir tku
Doctor :  
Doctor :   Thank you and bye for now.

Doctor :  
I hope you have filled the feedback form
User :   yes sir
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