Dear Ian,
I suggest to check the haemopexin concentration in this patient. The
haemopexin concentration drops in patients with marked haemolysis. A normal
concentration in this patient should be suggestive for anhaptoglobulinaemia.
Dirk BERNARD, MD
Laboratorium Scheikunde
AZ Sint Jan
Ruddershove 10
B-8000 Brugge
Belgium
> I have a query from our haematology colleagues concerning a patient with
> undetectable haptoglobin. He has a slightly raised unconjugated bilirubin
so
>
> the undetectable haptoglobin may be due to haemolysis. Anyone able to
detect
>
> true ahaptoglobinaemia?
>
> Ian
>
>
> Dr Ian Holbrook
> Department of Chemical Pathology
> York District Hospital
> Wigginton Road
> YORK YO31 8HE
> UK
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