Thalassemia and Henatoglobiniopathies Flashcards
(13 cards)
how many working gene is in Hb H disease
1
features of Hb H disease
microcytic, hypochromic anemia
poikilocytosis, target cell, Golf ball cells
Can patient w Hb H live normally
yes, symptoms occur when trigger from such as infections, pregnancy, oxidative stress
how many functional alpha gene is in Bart’s hydros fetalis
0
clinical signs of bart’s hydros fetalis
hydrop fetalis: generalized edema, ascites, hepatosplenomegaly, cardiomegaly
severe hypochromic, microcytic anemia
many NRBCs in blood smear
pathophysiology of beta thalassemia
excess alpha chain => precipitate at erythrocyte procure => differentiate mai tai
beta thalassemia minor features
mild anemia
beta thalassemia major features
severe anemia, transfusion dependent
beta thalassemia silent carrier features
no symtoms
blood smear finding in beta thalassemia minor
microcytic, hypochromic RBCs, mild anisopoikilocytosis
target cells, eliptocytes, basophilic stepping
labs in beta thalassemia minor
high HbA
Beta thalassemia major clinical presentation
homozygous
transfusion dependent, growth retardation, carniofacial deformities
blood smear finding in beta thalassemia major
severe microcytic, hypochromic anemia, extreme poikilocytosis (target cells, teardrop cells, eliptocytes, basophilic stipping, nourmerous NRBC