PMID- 25501660 OWN - NLM STAT- MEDLINE DCOM- 20150604 LR - 20220317 IS - 1432-0584 (Electronic) IS - 0939-5555 (Linking) VI - 94 IP - 5 DP - 2015 May TI - Comparison and evaluation of three screening tests of hereditary spherocytosis in Chinese patients. PG - 747-51 LID - 10.1007/s00277-014-2270-2 [doi] AB - The objective of this study is to compare and evaluate the diagnostic value of hereditary spherocytosis (HS) by three screening tests, comparing mean spherical corpuscular volume (MSCV) to mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration (MCHC), and flow cytometric osmotic fragility test. Peripheral blood was collected from 237 participators diagnosed at the First Affiliated Hospital of Guangxi Medical University, including 56 hereditary spherocytosis patients, 86 thalassemia patients, and 95 healthy people. The samples were examined by three tests, and the three screening tests were evaluated by the sensitivity and specificity of tests. The sensitivity was only 41.07%, and specificity was 94.47% when using MCHC >355 g/L as diagnostic criteria. The sensitivity was 89.28%, and specificity was 96.14% when using MSCV < MCV as the optimum cutoff point. When using the residual red cell percentage <23.6% as the diagnostic threshold in flow cytometric osmotic fragility test, the sensitivity was 85.71% and the specificity was 97.24%. Flow cytometry osmotic fragility test or comparing MSCV to MCV combined with smear examination of peripheral red blood cells morphology can be a simple, practical, and accurate hereditary spherocytosis (HS) laboratory screening method. FAU - Tao, Yi-feng AU - Tao YF AD - Affiliated Tumor Hospital of Guangxi Medical University, Nanning, Guangxi, China. FAU - Deng, Zeng-fu AU - Deng ZF FAU - Liao, Lin AU - Liao L FAU - Qiu, Yu-ling AU - Qiu YL FAU - Chen, Wen-qiang AU - Chen WQ FAU - Lin, Fa-quan AU - Lin FQ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141212 PL - Germany TA - Ann Hematol JT - Annals of hematology JID - 9107334 RN - 0 (Ankyrins) RN - 0 (Hemoglobins) RN - Spherocytosis, Type 1 SB - IM MH - Adolescent MH - Adult MH - Ankyrins/*deficiency MH - Child MH - Child, Preschool MH - Erythrocytes/metabolism MH - Female MH - Flow Cytometry MH - Hemoglobins/metabolism MH - Humans MH - Male MH - Osmotic Fragility/physiology MH - Spherocytosis, Hereditary/*diagnosis MH - Thalassemia/diagnosis MH - Young Adult EDAT- 2014/12/17 06:00 MHDA- 2015/06/05 06:00 CRDT- 2014/12/16 06:00 PHST- 2014/07/28 00:00 [received] PHST- 2014/11/27 00:00 [accepted] PHST- 2014/12/16 06:00 [entrez] PHST- 2014/12/17 06:00 [pubmed] PHST- 2015/06/05 06:00 [medline] AID - 10.1007/s00277-014-2270-2 [doi] PST - ppublish SO - Ann Hematol. 2015 May;94(5):747-51. doi: 10.1007/s00277-014-2270-2. Epub 2014 Dec 12.