Hb S – Features - 1
Increased hemoglobins with disease:
Hb SS:
Hb SC:
Increased Hb F
Hb S/bothal:
Increased Hb F
Increased Hb A2
Therapy:
Goal:
Increase Hb F levels with hydroxyurea or butyrate therapy as 5 – 12% Hb F may suppress severity of hemolysis and frequency of episodes.
Pre-surgery:
Transfuse with normal blood to lower Hb S below 50%