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CASE HEMATOLOGY + GENETICS I

+ thalassemia/HbE disease

+ + thalassemia thalassemia

HbE disease (Hemoglobinopathy)

Decreased beta chains production

Mutation of chain of the 26th amino acid:


Glutamic acid Lysine

Unstable hemoglobin

RBC deformity

Increased RBC destruction at spleen Change in RBC morphology

Polychromasia

5400054 5406181

Bone change Hypochromic microcytic RBC with poikilocytosis Compensation Extramedullary hemopoiesis

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