Lab Testing in Thalassemia - 1
Osmotic fragility test:
Decreased as it is in IDA
Brilliant cresyl blue:
Uniformly positive for Hb H
Precipitate gives a “golf ball” or “raspberry” appearance
In a-thalassemia only few RBCs positive
Special stains:
Hemoglobin electrophoresis:
Hemoglobin A2 by column chromatography: