Abnormal hemoglobin

From: Betsy Hyde (elishyde@connix.com)
Mon Jan 20 19:41:49 1997


A 23 yo G1, twin gestation had hemoglobin electrophoresis done because of low MCV. Not anemic. Hemoglobin electrophoresis came back with no abnormal amounts of S, C, F, thal but 12% "unknown" hemoglobin. Lab unable to identify. Says the hemoglobin migrated in area similar to, but not identical, to hemoglobin Lapour (?spelling)

What to do? Check FOB for hemoglobinopathies? Do nothing? (Have referred to local perinatologists who are also bewildered but are consulting with pediatric hematologist)

--
Betsy Hyde CNM
Branford, CT
midwife in private md/cnm practice




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