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August 16, 2026LaboratoriumsMedizinOpen Access

15 years of hemoglobinopathies and thalassemias: from a textbook example in biochemistry to an everyday diagnostic challenge

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Authors

FHFriederike HäuserJBJoachim BeckEMEva Mildenberger

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Overview

Diagnostic cohort study demonstrates high rates of complex globin defects in evaluated patients, highlighting the necessity of combining functional testing with molecular genetic analysis.

Key Points

  • To evaluate the diagnostic challenges and utility of integrating functional laboratory methods with molecular genetic testing for hemoglobinopathies and thalassemias.
  • Evaluated 565 patients tested between 2010 and 2025 using complete blood counts, clinical chemistry parameters, and hemoglobin high-performance liquid chromatography (HPLC).
  • Performed molecular genetic analyses using Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA) to detect pathogenic variants across the HBA and HBB gene clusters.
  • Pathogenic variants were identified in 374 of 565 patients (66.2%).
  • Combined disorders involving qualitative and quantitative globin defects or concurrent HBA and HBB gene cluster mutations were present in 88 patients (15.6%).

Cite This Study

Häuser et al. (2026) studied this question.

synapsesocial.com/papers/6a8179eff2fb91fc834ad761https://doi.org/10.1515/labmed-2026-0108
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Also Consider

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  1. 1Laboratory features of hemoglobinopathies2024
  2. 2<b>15th National Congress of the Portuguese Society of Clinical Chemistry, Genetics and Laboratory Medicine</b>2024 · 5 citations
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  4. 4The Role of Capillary Zone Electrophoresis in Hemoglobinopathy Diagnosis2025
  5. 5Utility of Molecular Sequencing and Hematologic Parameters for Diagnosis of α-Thalassemia: A Perspective of the National Reference Laboratory2025