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[Alpha-thalassemia in Puglia. II. Neonatal screening for Bart's hemoglobin]

Insights

Newborn screening in Apulia detected Hemoglobin Bart's (Hb Bart's) in 7.8% of 550 umbilical cord blood samples. Most cases had minimal levels, but some showed significant Hb Bart's, necessitating further investigation.

Area of Science:

  • Medical Genetics
  • Hematology
  • Neonatal Screening

Context:

  • Screening of 550 umbilical cord blood samples from newborns in Apulia.
  • Utilized Cellogel electrophoresis (Tris Glycine pH 8.6) for hemoglobin analysis.

Purpose:

  • To detect and quantify Hemoglobin Bart's (Hb Bart's) in a newborn population.
  • To identify the prevalence and levels of Hb Bart's in the studied cohort.

Summary:

  • 43 out of 550 samples (7.8%) showed detectable Hb Bart's.
  • 34 cases (6.18%) had non-measurable Hb Bart's levels.
  • 9 cases (1.63%) exhibited measurable Hb Bart's ranging from 2.19% to 26%.

Impact:

  • Identified a carrier rate for Hb Bart's in the Apulia region.
  • Highlights the need for neonatal screening protocols for hemoglobinopathies.
  • Provides data for understanding the genetic landscape of hemoglobin disorders in Southern Italy.

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