Characterization of Hemoglobin Variants in the Çukurova Region of Turkey: Prevalence and Clinical Implications


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Touran Hosseini S., Çürük M. A., Menziletoğlu Yıldız Ş. S.

International Journal of Medical Investigation, cilt.13, sa.2, ss.162-176, 2024 (Hakemli Dergi)

Özet

Background: Hemoglobinopathies, the most prevalent single-gene disorders worldwide, are

projected to see an increase in prevalence in the future. This study aims to identify abnormal

hemoglobin variants in the Çukurova region.

Methods: Blood samples were collected at the Central Laboratory of Çukurova University Balcalı

Hospital, and abnormal hemoglobin types were determined using hemoglobin electrophoresis,

sickling, and ARMS methods.

Results: The study identified 115 cases of HbAS, 60 cases of HbSS, 3 cases of HbSC, 2 cases of

HbAC, and 1 case of HbAE. The findings indicate that the carriage of sickle cell traits is highest in

the Çukurova region. The objective is to reduce the number of affected births and mitigate the

economic burden on the country by implementing screening programs in regions where

hemoglobinopathy is endemic.

Conclusion: The Çukurova Region's high prevalence of HbS and the common practice of

consanguineous marriages increase the likelihood of babies being born with HbSS. New screening

methods are urgently needed to accurately distinguish carriers from patients and rule out common

conditions like iron deficiency anemia. The success of screening programs depends on the population's

acceptance, which can be improved through awareness creation and effective genetic counseling postdiagnosis.

Keywords: Hemoglobin Variants, Çukurova, Prevalence, Clinical Implications