Manual of Laboratory and Diagnostic Tests, 8th ed. This means that a value that falls outside the normal values listed here may still be normal for you or your lab. Case: The patient is a 30 year old male. The health professional drawing blood will: The blood sample is taken from a vein in your arm. Put the needle into the vein. Current as of: Results are ready in several days. This information does not replace the advice of a doctor. Mosby's Manual of Diagnostic and Laboratory Tests, 4th ed. electrophoresis, these patients have Hb S levels slightly higher than typically observed with sickle cell trait and a delay of hemoglobin F to adult levels. Laboratory Tests and Diagnostic Procedures, 5th ed. Your use of this information means that you agree to the Terms of Use. There is very little chance of a problem from having a blood sample taken from a vein. A hemoglobin electrophoresis test applies an electric current to a blood sample. Date: AUG.14.2012 This can help you and your partner see how likely you are to have children with certain inherited forms of anemia (such as sickle cell disease or thalassemia). Put pressure on the site and then put on a bandage. Scientific Shorts Continuing without changing Cookie settings assumes you consent to our use of cookies on this device. Abnormal hemoglobin types may be present without any other symptoms, may cause mild diseases that do not have symptoms, or cause diseases that can be life-threatening. Hemoglobin electrophoresis was ordered because the patient had been told that he had sickle cell trait. Hemoglobin electrophoresis is used as a screening test to identify normal and abnormal hemoglobins and assess their quantity. Help couples find out how likely they are to have a child with certain forms of anemia that can be passed from a parent to a child (inherited). Phone // +1.202.857.0717 or 800.892.1400 Hemoglobin types include hemoglobin A 1 (HbA 1), hemoglobin A 2 (HbA 2), hemoglobin F (HbF; fetal hemoglobin), hemoglobin C (HbC), and hemoglobin S (HbS).Hemoglobin reference ranges are as follows. A hemoglobin electrophoresis test is a blood test done to check the different types of hemoglobin in the blood. On alkaline gel electrophoresis, the patient's sample is in the second complete lane (see below). This can be used to diagnose certain types of. Hemoglobin types other than S, C, D, and E are rare. Wrap an elastic band around your upper arm to stop the flow of blood. Electrophoresis uses an electrical current to separate normal and abnormal types of hemoglobin in the blood. The normal values listed here—called a reference range—are just a guide. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. 1. Hemoglobin types have different electrical charges and move at different speeds. (2009). In order to differentiate D from G from Korle-Bu, molecular analysis was recommended. In the case of sickle cell trait, hemoglobin S is confirmed by either a positive sickle solubility test (e.g., mixing the reducing agent sodium hydrosulfite with blood inducing sickling in cells containing hemoglobin S) or by performing an acid gel electrophoresis where hemoglobin S migrates separately from hemoglobin A. More than one needle stick may be needed. Does This Abnormal Hemoglobin Indicate Sickle Cell Trait? This problem is called phlebitis. U.S. Hemoglobin D. This type of hemoglobin is present in some sickle cell disorders. Does This Abnormal Hemoglobin Indicate Sickle Cell Trait? How should you proceed? You can lower the chance of bruising by keeping pressure on the site for several minutes. Check treatment for diseases that have abnormal types of hemoglobin in the blood. Because hemoglobin Lepore produces a thalassemic phenotype, A/Lepore is unlikely. A hemoglobin electrophoresis test is a blood test done to check the different types of hemoglobin in the blood.  // Sickle cell disease is a generic term covering all the syndromes in which HbS is present. Put a gauze pad or cotton ball over the needle site as the needle is removed. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Science & Research Author: William E. Winter, Lindsay Bazydlo, and Neil S. Harris In children with normocytic hemolytic anemia, if results of electrophoresis show only HbS with an HbF concentration of less than 30%, the diagnosis is sickle cell anemia. 96.5%–98.5% of total hemoglobin or 0.96–0.985 mass fraction, 1.5%–3.5% of total hemoglobin or 0.015–0.035 mass fraction, 0%–1% of total hemoglobin or 0–0.01 mass fraction. The most common types of normal hemoglobin are: There are more than 350 types of abnormal hemoglobin.footnote 1 The most common are: Hemoglobin S and hemoglobin C are the most common types of abnormal hemoglobin that may be found by an electrophoresis test. 900 Seventh Street, NW Suite 400 Pagana KD, Pagana TJ (2010). Remove the band from your arm when enough blood is collected. 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Winter, MD, Lindsay Bazydlo, PhD, and Neil S. Harris, MD, Commission on Accreditation in Clinical Chemistry. In hemoglobin electrophoresis red cell lysates are subjected to electric fields under alkaline (alkaline gel) and acidic (acid gel) pH. Tell your doctor if you are getting iron therapy for iron deficiency anemia. Hemoglobin types S and C mean hemoglobin S-C disease, which causes a mild or moderate form of sickle cell disease. Hemoglobin D in the heterozygous state with A (i.e., AD) or homozygous state (i.e., DD) is benign; however, heterozygosity of D with S (i.e., SD), produces a sickle cell anemia-like-phenotype that can produce crises. This can be carried out on filter paper, a cellulose acetate membrane, a starch gel, a citrate agar gel, or an agarose gel. You can change these settings at any time, but that may impair functionality on our websites. You may get a small bruise at the site. An elastic band is wrapped around your upper arm. Hemoglobin S and hemoglobin C are the most common types of abnormal hemoglobin that may be found by an electrophoresis test.

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