Hemoglobinopathies
inherited disorders that affect structure, function and production of hemoglobin
eg: sickle cell disease
Thalassemia
Patient at risk for hemoglobin electrophoresis
African
Mediterranean
Middle Eastern
southeast Asian
West Indian descent
or
If low MCV/MCH
Hemoglobinopathies
AA hemoglobin = Normal hemoglobin
AS hemoglobin = sickle cell trait (heterozygous)
SS hemoglobin = sickle cell disease (homozygous)
AA hemoglobin in conjunction with a microcytic RBC and normal ferritin level suggests: Alpha Thalassemia
Decreased levels of HbA1, Increased levels of HbA2 and hemoglobin F = beta thalassemia