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Hemoglobin
international journal for hemoglobin research
Volume 14, 1990 - Issue 2
32
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Original Article

HB Mizuho [β68(E12)LEU-PRO]. Second Occurrence Identified in A Caucasian Child with Hemolytic Anenia and Dense Erythrocyte Inclusions

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Pages 129-136 | Published online: 07 Jul 2009
 

Abstract

Hb Mizuho [β68(E12) Leu-Pro] was identified in a child of Italian/Sicilian descent who exhibited severe, transfusion dependent hemolytic anemia which improved following splenectomy. The patient's peripheral blood smear, which prior to splenectomy demonstrated coarse erythrocytic basophilic stippling, showed large, dense erythrocytic hemoglobin inclusions following splenectomy. Whole blood oxygen equilibrium results were consistent with the presence of a hemoglobin component exhibiting increased oxygen affinity with decreased cooperativity. The abnormal p chain was characterized by high performance liquid chromatography analysis of the isopropanol precipitable hemoglobin fraction.

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