There is an interesting article on hemoglobin M yielding a elevated
CO-Hb. See Haymond, et al. Clin Chem 51:2 434-444 (2005).
James D. Peele, Ph.D.
Director of Clinical Chemistry
Baptist Medical Center
800 Prudential Drive
Jacksonville, FL 32207
Voice 904-202-2675
Fax 904-202-2795
E-mail [log in to unmask]
>>> "Pledger, Derek" <[log in to unmask]> 03/20/06
11:04AM >>>
Does anyone have a feel for the highest CoHb level likely to be seen in
patient with no obvious exposure to CO other than from cigarette smoking
(approx. 30/day)? COHb consistently in 12-14% range on 4 occasions now.
Domestic gas appliances and car exhaust OK apparently. Patient also has
polycythaemia (Hb at diagnosis 19.7, now declining with recurrent
venesection) and COPD.
Derek Pledger
Dept Clinical Biochemistry
Ipswich Hospital NHS Trust
Heath Road
Ipswich
IP1 4NS
***************************************************************************
This e-mail and any files transmitted with it are confidential. If you
are not the intended recipient, any reading, printing, storage,
disclosure, copying or any other action taken in respect of this e-mail
is prohibited and may be unlawful. If you are not the intended
recipient, please notify the sender immediately by using the reply
function and then permanently delete what you have received. Content of
emails received by this Trust will be subject to disclosure under the
Freedom of Information Act 2000, subject to the specified exemptions,
including the Data Protection Act 1998 and Caldicott Guardian
principles. This footnote also confirms that this email message has been
swept by MIMEsweeper and SOPHOS Anti-virus for the presence of computer
viruses.
***************************************************************************
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
-----------------------------------------
NOTICE: This message is confidential, intended for the named
recipient(s) and may contain information that is (i) proprietary to
the sender, and/or,(ii) privileged, confidential and/or otherwise
exempt from disclosure under applicable Florida and federal law,
including, but not limited to, privacy standards imposed pursuant
to the federal Health insurance Portability and Accountability Act
of 1996 ("HIPAA"). Receipt by anyone other than the named
recipient(s) is not a waiver of any applicable privilege. Thank you
in advance for your compliance with this notice.
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|