Hemoglobin electrophoresis and hemoglobinopathies in Kuwait
Affiliations
Affiliations
- Department of Pathology, Faculty of Medicine, Kuwait University, PO Box 24923, 13110 Safat, Kuwait. r-marouf@hsc.kuniv.edu.kw
Abstract
Objectives: To analyze the results of hemoglobin electrophoresis (HE) in the routine laboratory of a tertiary hospital in Kuwait and to review the common types of hemoglobinopathies prevalent in the country.
Methods: This was a prospective study of HE performed on 2,386 samples in Mubarak Al-Kabeer Hospital, which serves more than 30% of the population of Kuwait, from June 1997 to May 1998.
Results: Of the 2,386 HE tests, only 561 (23.5%) had abnormal hemoglobin genotypes. The most commonly identified hemoglobinopathies were beta-thalassemia minor (14%), sickle cell trait (6%), sickle cell anemia (0.9%), S beta zero thal (0.8%) and S beta + thal (0.8%). Two rare hemoglobin variants, Hb DPunjab and Hb E, were encountered.
Conclusion: HE yielded only 23.5% abnormal results, thus indicating the need to streamline requests for the test. The test should be limited to patients with hematological and clinical features suggestive of hemoglobinopathies or to individuals with a positive family history.
Similar articles
Orts JA, Zúñiga Á, Bello Y, Fabregat AB, Vicente AI.Hemoglobin. 2016 Sep;40(5):335-340. doi: 10.1080/03630269.2016.1224767. Epub 2016 Sep 22.PMID: 27535164
"Minor" hemoglobinopathies: a risk factor for asthma.
Palma-Carlos AG, Palma-Carlos ML, Costa AC.Eur Ann Allergy Clin Immunol. 2005 May;37(5):177-82.PMID: 15984316 Review.
Neonatal screening for sickle cell disease and other hemoglobinopathies in "the changing Europe".
Rolla R, Castagno M, Zaffaroni M, Grigollo B, Colombo S, Piccotti S, Dellora C, Bona G, Bellomo G.Clin Lab. 2014;60(12):2089-93. doi: 10.7754/clin.lab.2014.140701.PMID: 25651745
[Hemoglobinopathies in Tunisia. An updated review of the epidemiologic and molecular data].
Fattoum S.Tunis Med. 2006 Nov;84(11):687-96.PMID: 17294892 French.
Sabo G, Brodbeck U, Cardile N, Viollier AF, Scheurmann T, Knecht H.Schweiz Med Wochenschr. 1999 Aug 28;129(34):1196-200.PMID: 10486859 German.
Cited by
Al-Awadhi A, Adekile A, Marouf R.J Thromb Thrombolysis. 2017 Jan;43(1):117-123. doi: 10.1007/s11239-016-1418-4.PMID: 27613177
Sequence and analysis of a whole genome from Kuwaiti population subgroup of Persian ancestry.
Thareja G, John SE, Hebbar P, Behbehani K, Thanaraj TA, Alsmadi O.BMC Genomics. 2015 Feb 18;16(1):92. doi: 10.1186/s12864-015-1233-x.PMID: 25765185 Free PMC article.
Alsmadi O, John SE, Thareja G, Hebbar P, Antony D, Behbehani K, Thanaraj TA.PLoS One. 2014 Jun 4;9(6):e99069. doi: 10.1371/journal.pone.0099069. eCollection 2014.PMID: 24896259 Free PMC article.
Mehdi SR, Al Dahmash BA.Indian J Hum Genet. 2013 Jul;19(3):337-41. doi: 10.4103/0971-6866.120829.PMID: 24339548 Free PMC article.
Mehdi SR, Al Dahmash BA.Indian J Hum Genet. 2011 Sep;17(3):207-11. doi: 10.4103/0971-6866.92106.PMID: 22345994 Free PMC article.
References
https://pubmed.ncbi.nlm.nih.gov/