Automated haemolysate preparation:
Option of automatic reflex of abnormal samples to a high resolution:
Assay same specimen used for screening with no re-prep
Identifies F, A, and clinically significant variants S, C, D, E, O, Bart’s
The red cells of newborns with alpha-thalassemia contain hemoglobin Bart's, a tetramer of gamma globin.
Many, but not all neonatal screening programs detect and report Hb Bart's.
Newborns with >30% hemoglobin Bart's by HPLC and/or who develop more severe anemia may have Hb H disease or Hb H Constant Spring disease.
More extensive diagnostic testing and consultation with a pediatric hematologist is generally needed for accurate diagnosis and appropriate treatment. The identification of Hb Bart's in Asian infants can have important genetic implications for couples who may be at risk for pregnancies complicated by hydrops fetalis.
Report quantitative results and phenotypes
Provide speed, accuracy and reliability
Sample:
Elements of Analysis
Principle: Ion-exchange high performance liquid chromatography
Minimum readable division
Computer