RESUMEN
OBJECTIVE: To describe number and type of hemoglobinopathies diagnosed in our area of reference during one year as well as the origin of these patients, to have a first contact with this pathology not characterized in our province until now. MATERIAL AND METHOD: All hemoglobinopathies diagnosed in one year were reviewed, either for suspected patients, after analyzing chromatogram to quantify hemoglobin (Hb) A1c or hemogram suspicious of beta-thalassemia. The screening method was high pressure liquid chromatography (HPLC), to identify and quantify HbA2, HbS and HbC. The other variants were diagnosed at reference laboratory. RESULTS: 198 hemoglobinopathies were diagnosed, 105 after measure HbA1c. The more frequent diagnoses were beta-thalassemia trait and heterozygote HbS. 61.1% of patients are from Canary Islands, mainly from Tenerife. CONCLUSIONS: The high number of carriers found from Canary Islands, should be the start to design prospective studies on population groups, in order to know the hemoglobinopathies prevalence and to perform control and prevention official programs in the province of Santa Cruz de Tenerife.
Asunto(s)
Hemoglobinopatías/diagnóstico , Hemoglobinopatías/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Algoritmos , Niño , Preescolar , Femenino , Hospitales Universitarios , Humanos , Lactante , Masculino , Persona de Mediana Edad , EspañaRESUMEN
An increase in transaminases may be due to multiple causes. We present a case of reversible hypertransaminasemia following specific dietary therapy. The various potential aetiopathogenies are reviewed to explain the raising of transaminase levels and the improvement in analytical results after the institution of this dietary treatment.