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Discriminant function using red cell indices to distinguish between HbC and HbE traits

R F Hinchliffe1, S P Ellis, J S Lilleyman

  • 1Section of Paediatric Haematology, University of Sheffield Department of Paediatrics, Children's Hospital, Western Bank, UK.

Clinical and Laboratory Haematology
|March 1, 1995
PubMed
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This study compared red blood cell indices in individuals with Hemoglobin C (HbC) and Hemoglobin E (HbE) traits. A discriminant function using MCHC and RDW effectively differentiated between HbC and HbE traits, aiding in quality control.

Area of Science:

  • Hematology
  • Clinical Chemistry
  • Medical Diagnostics

Background:

  • Hemoglobin variants like HbC and HbE are common globally.
  • Accurate differentiation of hemoglobin traits is crucial for diagnosis and management.
  • Automated blood analyzers provide key red blood cell indices.

Purpose of the Study:

  • To compare red blood cell indices (MCV, MCH, MCHC, RDW) between subjects with HbC and HbE traits.
  • To evaluate a discriminant function for differentiating HbC and HbE traits.
  • To assess the utility of this function as an adjunct to electrophoresis.

Main Methods:

  • Utilized a Technicon H*1 automated blood count analyzer.
  • Compared mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and red cell distribution width (RDW) values.

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  • Developed and applied a discriminant function: (MCHC^2 x RDW) / 1000.
  • Main Results:

    • Significantly higher MCH, MCHC, and RDW values were observed in subjects with HbC trait compared to HbE trait.
    • The discriminant function correctly classified 19/20 subjects with HbC trait (value >= 16.3).
    • The discriminant function correctly classified 20/21 subjects with HbE trait (value <= 16.2).

    Conclusions:

    • The developed discriminant function effectively distinguishes between HbC and HbE traits.
    • This MCHC and RDW-based function can serve as a valuable adjunct to electrophoresis.
    • It offers potential for improved intralaboratory quality control in hemoglobinopathy testing.