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Beta-Thalassemia Screenig with Graph

Unit Test
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Details

Beta-Thalassemia is a genetic blood disorder caused by mutations in the β-globin gene, leading to reduced or absent synthesis of β-globin chains in hemoglobin. This results in anemia and ineffective erythropoiesis

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🧪 Beta-Thalassemia Screening with Graph

Parameter

Details

Test Name

Beta-Thalassemia Screening (Hemoglobin Electrophoresis or HPLC)

Sample Type

Whole Blood (EDTA tube)

Fasting Required

❌ Not required

Turnaround Time

2–5 days

Reporting

Includes a graph or chromatogram showing various hemoglobin types

Common Technique

HPLC (High-Performance Liquid Chromatography) or Capillary Electrophoresis

🧬 What Is Beta-Thalassemia?

Beta-Thalassemia is a genetic blood disorder caused by mutations in the β-globin gene, leading to reduced or absent synthesis of β-globin chains in hemoglobin. This results in anemia and ineffective erythropoiesis.

🔬 Purpose of the Test

Clinical Purpose

Details

🔍 Carrier Detection

Identifies Beta-Thalassemia trait (minor) or disease (major/intermedia)

👶 Prenatal/Pre-marital Screening

Prevents thalassemia major in offspring through early carrier identification

🩺 Diagnostic Aid in Anemia

Helps differentiate thalassemia from iron deficiency anemia

🧬 Genetic Counseling

For families with thalassemia history

📈 Graph Output (HPLC/Capillary Electrophoresis)

The report includes a chromatogram or electropherogram showing hemoglobin fractions like:

Hemoglobin Type

Normal Range

Thalassemia Clue

Hb A (Adult Hb)

96–98%

↓ Decreased in Beta-Thalassemia trait/major

Hb A2

1.5–3.5%

↑ Elevated (>3.5%) in Beta-Thalassemia trait

Hb F (Fetal Hb)

<1%

↑ Elevated (>10–90%) in Beta-Thalassemia major

Hb E, Hb D, etc.

0%

May indicate other hemoglobinopathies

🧪 Interpretation Based on Graph/Fractions

Findings

Likely Interpretation

↑ Hb A2 (3.5–7%)

Beta-Thalassemia Trait (Carrier)

↑ Hb F (>10%) + ↓ Hb A

Beta-Thalassemia Major or Intermedia

Hb A normal, normal A2 and F

Normal or iron-deficiency anemia

Hb E, D, S peaks

Other hemoglobinopathies (e.g., HbE disease)

🩺 Diseases Detected or Ruled Out

Condition

Relation

Beta-Thalassemia Trait

Carrier state, asymptomatic, genetic counseling advised

Beta-Thalassemia Major

Severe anemia, transfusion dependent

Thalassemia Intermedia

Moderate symptoms, sometimes transfusion needed

Other Hemoglobinopathies

Hb E, Hb D, Hb S (if co-inherited)

🔄 Recommended Additional Tests

Test

Why?

CBC (RBC indices)

Microcytosis (MCV < 80 fL), Hypochromia (MCH < 27 pg)

Ferritin, Iron, TIBC

Rule out iron deficiency

DNA Analysis (HBB Gene)

Confirm exact mutation in the β-globin gene

Alpha Thalassemia Screening

Rule out coexisting alpha thalassemia

Prenatal Genetic Testing (if needed)

Especially if both parents are carriers

📋 Quick Summary Table

Test Name

Beta-Thalassemia Screening with Graph

Sample

Whole blood (EDTA)

Techniques

HPLC / Electrophoresis

Key Indicators

Hb A2 > 3.5%, Hb F elevated, Hb A decreased

Fasting Required

❌ No

Paired With

CBC, Iron Panel, Genetic Counseling, Ferritin

Used For

Carrier detection, anemia evaluation, prenatal screening

🧒 Special Note on Prenatal Testing

If both parents are carriers, prenatal testing through chorionic villus sampling (CVS) or amniocentesis is strongly advised to rule out Beta-Thalassemia Major in the fetus.

How our test process works!

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