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Medicine General 89d9d5c1

HbA2 is raised in:

A
Beta thalassemic trait
B
Sickle cell anemia
C
Hereditary spherocytosis
D
None
High-Yield Explanation
Failure to synthesise beta chains (beta-thalassaemia) is the most common type of thalassaemia, most prevalent in the Mediterranean area. Heterozygotes have thalassaemia minor, a condition in which there is usually mild microcytic anaemia and little or no clinical disability, which may be detected only when iron therapy for a mild microcytic anaemia fails. Homozygotes (thalassemia major) either are unable to synthesise haemoglobin A or, at best, produce very little; after the first 4–6 months of life, they develop profound transfusion-dependent hypochromic anaemia. Key Concept:  In beta thalassemia, HbA2 quantity is raised. Ref: Davidson Ed 23 Pg 47

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