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Mediterranean Journal of Hematology and Infectious Diseases
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HEMOGLOBIN ANALYSIS IN THE FIRST YEAR OF LIFE

Authors: Wong, Peerapon; Weerakul, Jiranun; Sritippayawan, Suchila;

HEMOGLOBIN ANALYSIS IN THE FIRST YEAR OF LIFE

Abstract

Background and Objectives: In newborns and infants during their first year of life, there is a dynamic change in the fraction of hemoglobin (Hb). To apply Hb analysis as a phenotypic diagnosis of thalassemia in newborns and infants, we need normal values of each Hb fraction for reference. Methods: Seventeen cord bloods from normal deliveries were collected for analysis. One hundred and thirty seven infants from the pediatric outpatient clinic were recruited and were categorized by their ages into a series of short periods (month+2 weeks). Both alpha and beta thalassemia carriers detected were excluded. Samples with an Hb level less than 10.0 g/dL were also excluded. The proportion of Hb A (a2b2), A2 (a2d2), and F (a2g2) was obtained from high performance liquid chromatography and analyzed according to its categorized periods. Results: There were 90 (58.4%) specimens left for evaluation. The percentage of Hb A, A2, and F gradually changed with increasing age. The percentage of Hb A was 21.14+7.04% (mean+SD) in cord blood and increased substantially to 83.38+1.31% at the sixth month. The level was sustained thereafter. The incremental pattern of Hb A2 was similar to Hb A. The value was 0.32+0.19% at the beginning and reached a plateau with 2.78+0.25% at the sixth month. The percentage of Hb F started at 78.39+7.59% in cord blood and decreased rapidly in the first 6 months. Conclusions: The data possibly can be applied as quick guidance for interpretation of Hb analysis in newborns and infants during their first year of life. 

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Keywords

Hemoglobin analysis, Thalassemia, Infant, Diseases of the blood and blood-forming organs, Original Article, RC633-647.5, Newborn, High performance liquid chromatography

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
12
Top 10%
Top 10%
Average
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gold