Novel Hemoglobin Variant [β66(E10) Lys→Asn], with Decreased Oxygen Affinity, Causes Falsely Low Hemoglobin A1c Values by HPLC

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چکیده

منابع مشابه

A novel hemoglobin, Bonn, causes falsely decreased oxygen saturation measurements in pulse oximetry.

BACKGROUND A 4-year-old boy and his father exhibited low oxygen saturation measured transcutaneously by pulse oximetry, a finding that could not be confirmed by arterial blood gas analysis. Both patients exhibited slight hemolysis in their blood, and the boy had a microcytic anemia. There was no evidence of hypoxemia or methemoglobinemia. Despite the normal results from the arterial blood gas a...

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Hemoglobin Raleigh as the cause of a falsely increased hemoglobin A1C in an automated ion-exchange HPLC method.

Irreversible glycation of the hemoglobin A0 (HbA0) beta chain leads to the production of HbA1C, which can be used to monitor long-term blood glucose control in patients with diabetes mellitus. HbA1C is less positively charged than nonglycated HbA0, and this decrease in charge is the basis of ion-exchange and electrophoretic methods that measure HbA1C. We recently identified a sample that appear...

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Hemoglobin Warsaw ( Phefl * ’ ( CD 1 ) II ) Val ) , an Unstable Variant with Decreased Oxygen Affinity

In Hb Warsaw Val replaces the Phe normally present at the heme contact position ,842 (CDl). This variant is unstable, and it readily undergoes methemoglobin formation. In DEAE-cellulose chromatography, the variant hemoglobin co-eluted with Bb A; a partially heme-depleted fraction of the variant, representing 56% of the total hemoglobin, eluted separately and in pure form. The heme replete form ...

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Hemoglobin Himeji and inconsistent hemoglobin A1c values: a case report

BACKGROUND Hemoglobin A1c is used to evaluate the glycemic control in patients with diabetes and is a risk marker for chronic complications of diabetes. Hemoglobin variants are reported to falsely lower or increase hemoglobin A1c test results. We present a case report of a patient with diabetes with discrepancy between fasting plasma glucose and hemoglobin A1c due to the presence of hemoglobin ...

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Seasonal patterns in monthly hemoglobin A1c values.

The purpose of this study was to investigate seasonal variations in population monthly hemoglobin A(1c) (A1c) values over 2 years (from October 1998 to September 2000) among US diabetic veterans. The study cohort included 285,705 veterans with 856,181 A1c tests. The authors calculated the monthly average A1c values for the overall population and for subpopulations defined by age, sex, race, ins...

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ژورنال

عنوان ژورنال: Clinical Chemistry

سال: 2003

ISSN: 0009-9147,1530-8561

DOI: 10.1373/49.8.1412