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Pediatrics General 11ad200b

Bart's hydrops fetalis is lethal because –

A
Hb Bart's cannot bind oxygen
B
The excess a – globin form insoluble precipitates
C
Hb Bart's cannot release oxygen to fetal tissues
D
Microcytic red cells become trapped in the placental
High-Yield Explanation
`In the foetus excess, gamma globin chains form tetramers (1Ib Barts) with such high affinity for oxygen that they deliver almost no oxygen to tissues' - Robbins Clinically this condition manifests as hydrops fetalis and fetus shows features similar to those of erythroblastosis fetalis → Severe pallor, Generalized edema, Massive hepatosplenomegaly

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