Hemoglobin Agenogi ‑ A rare abnormal beta globin chain variant.

dc.contributor.authorSharma, Sunita
dc.contributor.authorSharma, Geetika
dc.contributor.authorChandra, Jagdish
dc.contributor.authorColah, Roshan
dc.date.accessioned2016-08-16T06:12:08Z
dc.date.available2016-08-16T06:12:08Z
dc.date.issued2016-01
dc.description.abstractHaemoglobin (Hb) Agenogi is clinically asymptomatic, rare β‑globin chain variant characterized by a substitution of glutamic acid by lysine at position 90 of β‑chain. It elutes in the C‑window on high‑performance liquid chromatography (HPLC). We report a 10‑year‑old male with easy fatigability, lethargy, pallor, and mild splenomegaly. Hematological parameters revealed microcytic hypochromic anemia and mildly raised red blood cells count, suggestive of thalassemia trait. On HPLC, a predominant peak was observed in the C‑window (82.6%) along with raised HbA2 level (9.3%). Based on these findings, a possibility of HbC disease/β‑thalassemia trait doubly heterozygous was considered. Family studies were advised. HPLC findings in father were suggestive of β‑thalassemia trait, while both his mother and brother had an abnormal peak in the C‑window of 42.7% and 40.8%, respectively, with elevated HbA2 values of 5% and 4.9%, respectively. Direct DNA sequencing revealed intervening sequences 1–5 (G → C) in father, confirming β‑thalassemia trait. His mother and brother had heterozygous gene mutation at codon 90 of β‑globin chain (G → A) suggestive of Hb Agenogi. The child carried mutations for both β‑thalassemia trait as well as Hb Agenogi.en_US
dc.identifier.citationSharma Sunita, Sharma Geetika, Chandra Jagdish, Colah Roshan. Hemoglobin Agenogi ‑ A rare abnormal beta globin chain variant. Indian Journal of Pathology & Microbiology. 2016 Jan-Mar 59(1): 99-101.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/176644
dc.language.isoenen_US
dc.source.urihttps://www.ijpmonline.org/article.asp?issn=0377-4929;year=2016;volume=59;issue=1;spage=99;epage=101;aulast=Sharmaen_US
dc.subjectAgenogien_US
dc.subjectbetaen_US
dc.subjectvarianten_US
dc.titleHemoglobin Agenogi ‑ A rare abnormal beta globin chain variant.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
ijpm2016v59n1p99.pdf
Size:
860.71 KB
Format:
Adobe Portable Document Format
Description:
Case report
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: