Uddin M Mesbah, Akteruzzaman Sharif, Rahman Taibur, Hasan A K M Mahbub, Shekhar Hossain Uddin
Department of Biochemistry and Molecular Biology, University of Dhaka, Dhaka 1000, Bangladesh.
ISRN Hematol. 2012;2012:659191. doi: 10.5402/2012/659191. Epub 2012 Jun 14.
Thalassemia and other structural haemoglobinopathies are the major erythrocyte formation disorder prevalent in certain parts of the world including Bangladesh. We investigated 600 cases of anaemic patients referred from various parts of the country for diagnosis and counselling during 3 months (April to June 2011) of time. The most common form of haemoglobin (Hb) formation disorder observed in 600 subjects studied was β-thalassemia minor (21.3%). Two other conditions, such as E-β-Thalassemia and HbE trait, were also fairly common (13.5 and 12.1%, resp.) in the total subjects studied. Other forms of haemoglobin formation disorders observed were HbE disease (9.2%), Hb D/S trait (0.7%), β-thalassemia major (0.5%), and δ-β-thalassemia (0.5%). The majority of the haemoglobinopathies belonged to neonatal to childhood period (0-15 years), followed by reproductive age group (16-45 years). Few old-age (46+ years) cases were also detected in course of clinical complications.
地中海贫血和其他结构性血红蛋白病是包括孟加拉国在内的世界某些地区普遍存在的主要红细胞生成障碍疾病。在2011年4月至6月这3个月的时间里,我们对来自该国各地转诊来进行诊断和咨询的600例贫血患者进行了调查。在所研究的600名受试者中,观察到的最常见的血红蛋白(Hb)生成障碍形式是轻度β地中海贫血(21.3%)。在所有研究对象中,另外两种情况,即E-β地中海贫血和HbE性状也相当常见(分别为13.5%和12.1%)。观察到的其他血红蛋白生成障碍形式包括HbE病(9.2%)、Hb D/S性状(0.7%)、重度β地中海贫血(0.5%)和δ-β地中海贫血(0.5%)。大多数血红蛋白病发生在新生儿至儿童期(0至15岁),其次是育龄期(16至45岁)。在临床并发症过程中也检测到少数老年(46岁以上)病例。