hemoglobin H disease
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Clinical manifestations
- onset of symptoms may be in childhood or as an adult (in milder cases)
- hemolytic anemia
- marked splenomegaly
Laboratory
- complete blood count
- hemoglobin 6-10 g/dL
- MCV 60-70 fL (microcytosis)
- peripheral smear
- reticulocytes are increased
- hemoglobin electrophoresis: Hgb A (70-95%), Hgb H (5-30%)