31 December 2019 (Tuesday) - Acquired HbH Disease



In conversation today we heard about acquired Hb H disease. “Acquired”? – you don’t acquire that, do you?
Apparently you can do. It’s rare, but it happens in some cases of myelodysplasia.
One lives and learns…


Z1234567            DUCK LEWIS T           01.02.79  M  T
Specimen 1234      Clin dets MDS with acquired HbH
Collected 31.12.19 10:20     A.Diag 
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Hb         - 65           |Eosin      - 0.00
WBC        - 2.35         |Baso         0.03
Plts         246          |MPV          0.0
Hct        - 0.230        |PCT          0.00
RBC        - 3.68         |NRBC         0.95
MCV        - 62.5         |RETP         1.5
MCH        - 17.7         |RETA         56.70
MCHC       - 283          |IRF          27.0
Neuts      - 0.56         |
Lymphs       1.40         |
Monos        0.36         |
DIFF       Blood film shows anisopoikilocytosis with target cells,tear drop cells and red cell fragments seen



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