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Test Code Hgb S Hemoglobin S Electrophoresis

Aliases

Hemoglobin S Quantitation without Pathologist Interpretation

Useful For

Analysis of sickle cell disease, trait, treatments, and thalassemias.

Patient Preparation

No special patient preparation required

Collection Method

Venous collection

Minimum Volume

1 mL

Container

Purple / EDTA

Preferred Specimen

EDTA Whole Blood

Acceptable Specimens

EDTA Whole Blood

Reference or Target Ranges

Hemoglobin A 96 – 98.5
Hemoglobin F 0
Hemoglobin S 0
Hemoglobin A2 1.5 – 4.0
Hemoglobin C 0

Reportable Units

% (percentage)

Critical Value

Not defined for this assay

Reasons for Rejection

Hemolysis Threshold
N/A
Icterus Threshold
N/A
Lipemia Threshold
N/A
Other
QNS, contaminated, improperly labled, improper specimen type. Avoid aged, improperly stored blood samples; degradation products (or artefacts) may affect the electrophoretic pattern after 7 days storage.

Specimen Stability

Ambient
N/A
Refrigerated (2°C to 8°C)
7 Days
Frozen(<-20°C to 0°C)
N/A

Performance Information

Days and Time Performed
Monday – Friday 8 AM – 4:30 PM
Expected Turn Around Time
Within 3 days of arrival in lab
Stat Availabilty
No
Performing Bench
Special Chemistry
Methodology/Method Description
Sebia Capillarys 2 – Capillary electrophoresis

Additional Information/Important Notes

  1. This method has not been validated in the neonate/newborn population, birth to 28 days of age. Repeat hemoglobin electrophoresis at 4 month of age may be suggested.
  2. When analyzing blood samples from transfused patients with sickle cell disease, with low Hb A level (<10%), Hb S fraction may appear shifted from Z(S) zone to Z(D) zone. It is necessary to analyze the hematologic state and to perform complementary studies in order to confirm the presence of Hb S.

Reflex Testing

All samples that appear to have Hgb S are confirmed upon initial identification by a Sickle Screen.