PMID- 31607315 OWN - NLM STAT- MEDLINE DCOM- 20191114 LR - 20200108 IS - 1009-2137 (Print) IS - 1009-2137 (Linking) VI - 27 IP - 5 DP - 2019 Oct TI - [Phenotype Analysis of 78 Cases of Abnormal Hemoglobin E Homozygotes]. PG - 1580-1584 LID - 10.19746/j.cnki.issn.1009-2137.2019.05.033 [doi] AB - OBJECTIVE: To analyze the hematological characteristics of HbE homozygotes. METHODS: Complete blood cells count and hemoglobin electrophoresis were used for phenotypic analysis of 78 cases with HbE homozygotes from Yunnan province, China. The PCR-fluorescence hybridization was used to detect the common gene mutation of thalassemia. The hematological indexes, including MCV, MCH, Hb, HbA2, HbF and HbE were statistically analyzed between groups with different sex, ages and compound alpha thalassemia status. RESULTS: In HbE homozygotes (HbEE), 89.5% (17/19) children presented mild to moderate microcytic hypochromic anemia, and 10.5% of them presented moderate anemia. 39.6% (19/48) of women with HbEE developed mild anemia ,while 11 cases of male with HbE homozygotes were asymptomatic. The levels of MCV and MCH in HbE homozygotes increased by co-inheritance of alpha thalassemia mutation. CONCLUSION: The clinical phenotype of HbE homozygote shows highly heterogeneous, which is relates with age, sex and co-inheriting alpha-globin genotypes. In Hb EE women and children are more likely to develop mild to moderate anemia. The microcytic hypochromic anemia degree is relieved when HbEE combined with alpha- thalassemia. FAU - Pan, Yun-Hua AU - Pan YH AD - Department of Laboratorial Examination, People's Hospital of Dehong Dai and Jingpo Autonomous Prefecture, Mangshi 678400, Yunnan Province, China. FAU - Guo, Wei-Xia AU - Guo WX AD - Department of Medical Genetics, Institute of Medical Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Kunming 650118,Yunnan Province, China. FAU - Luo, Sai-Li AU - Luo SL AD - Department of Laboratorial Examination, People's Hospital of Dehong Dai and Jingpo Autonomous Prefecture, Mangshi 678400, Yunnan Province, China. FAU - Tan, Xian-Rong AU - Tan XR AD - Department of Laboratorial Examination, People's Hospital of Dehong Dai and Jingpo Autonomous Prefecture, Mangshi 678400, Yunnan Province, China. FAU - Ge, Shi-Jun AU - Ge SJ AD - Department of Laboratorial Examination, People's Hospital of Dehong Dai and Jingpo Autonomous Prefecture, Mangshi 678400, Yunnan Province, China. FAU - Yang, Bi-Qing AU - Yang BQ AD - Department of Laboratorial Examination, People's Hospital of Dehong Dai and Jingpo Autonomous Prefecture, Mangshi 678400, Yunnan Province, China. FAU - Yang, Zhao-Qing AU - Yang ZQ AD - Department of Medical Genetics, Institute of Medical Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Kunming 650118,Yunnan Province, China,E-mail: zyang@imbcams.com.cn. LA - chi PT - Journal Article PL - China TA - Zhongguo Shi Yan Xue Ye Xue Za Zhi JT - Zhongguo shi yan xue ye xue za zhi JID - 101084424 RN - 9034-61-1 (Hemoglobin E) SB - IM MH - Child MH - China MH - Female MH - Genotype MH - Hemoglobin E/*genetics MH - Homozygote MH - Humans MH - Male MH - Phenotype MH - alpha-Thalassemia EDAT- 2019/10/15 06:00 MHDA- 2019/11/15 06:00 CRDT- 2019/10/15 06:00 PHST- 2019/10/15 06:00 [entrez] PHST- 2019/10/15 06:00 [pubmed] PHST- 2019/11/15 06:00 [medline] AID - 1009-2137(2019)05-1580-05 [pii] AID - 10.19746/j.cnki.issn.1009-2137.2019.05.033 [doi] PST - ppublish SO - Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2019 Oct;27(5):1580-1584. doi: 10.19746/j.cnki.issn.1009-2137.2019.05.033.