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Q. Kindly review my blood report and explain the type of thalassemia.

Answered by
Dr. Goswami Parth Rajendragiri
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 20, 2017 and last reviewed on: Jul 26, 2021

Hi doctor,

I have attached a report. I just want to know if this hemoglobin electrophoresis result is beta thalassemia minor or beta thalassemia intermedia or beta thalassemia major.

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Hi,

Welcome to icliniq.com.

  • According to HPLC report (high-performance liquid chromatography), you have attached, HbA2 raised and HbA decreased (hemoglobin A2 and A). Hence, it is suggestive towards thalassemia minor (attachment removed to protect patient identity).
  • It does not look like thalassemia major. You have not provided CBC report (complete blood count) in which Mentzer index will be calculated. It is derived from PCV and RBC value (PCV - packed cell volume and RBC - red blood cells).
  • If RBC mass is elevated and Mentzer index is less than 13, then it suggests towards thalassemia strongly.
  • Clinical correlation is always recommended. So, here your HPLC report suggest towards thalassemia minor. Consult your physician for examination. Take care.

For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist


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