Reply To: NEET SS Clinical Hematology 2020 Telegram Group Discussion MCQs

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#4091
Dr Sujeet KumarDr Sujeet Kumar
Keymaster

16. In newborn screening program detection of Hb Barts in a range of 20-25% is suggestive of ?

[1] HbH disease
[2] Alpha thal silent carrier
[3] Alph thal trait
[4] Hb Barts hydrops fetalis

Answer = [1] HbH disease

HPLC at birth in alpha thal syndromes.

*Hb Bart’s hydrops fetalis syndrome: Hb Bart’s > 80%, a variable amount of Hb Portland and HbH present, No HbA

*HbH disease: HbH > 20% at birth

*α-thalassemia trait: Hb Bart’s in newborns 4-10% may be up to 20 %

*α-thalassemia silent carrier: Hb Bart’s in newborns is up to 2%