Page 766 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
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750            Index




               Hemoglobin (Continued)                                                           physical agents, 300–301                                           Hereditary hemochromatosis (HH), 258, 270–271
                   analysis                                                                     trans usion reactions, 303–304                                        classi  cation and characteristics, 270–271

                       alkaline electrophoresis, 130, 130                                    complement, role o                                                       pathophysiology and laboratory characteristics,
                       chromatography, 131                                                      activation pathways, 293, 293–294                                                271
                       citrate agar electrophoresis, 131                                        alternative pathway, 295                                              treatment, 271
                       cyanmethemoglobin method, 130                                            atypical hemolytic uremic syndrome                                 Hereditary hydrocytosis, 298, 298

                       denaturation procedure, 131, 131                                                (aHUS), 294                                                 Hereditary pyropoikilocytosis (HPP), 297
                       hemoglobincyanide, 130                                                   classic complement pathway, 294                                    Hereditary spherocytosis (HS), 296, 296
                       molecular testing, 131                                                   mannose-binding lectin pathway, 295                                Hereditary stomatocytosis, 298, 298
                   biosynthesis                                                                 membrane disruption, 295                                           Hereditary storage pool de ect, 521, 521t

                       globin structure and synthesis, 125–126                                  paroxysmal nocturnal hemoglobinuria (PN                            Hereditary xerocytosis, 297–298
                       globin synthesis, 272                                                           H), 294                                                     Heterochromatin, 63–64
                       heme synthesis, 123, 126, 127                                            regulatory proteins, 294b                                          HFE protein, 124–125
                       hepcidin, 124, 265–267                                                diagnostic tests, 305–306                                             High iron Fe (HFE-gene), 270–271

                       iron, role o , 123–125                                                hemolysis, 295t                                                       High molecular weight kininogen de  ciency
                       porphyrin, 271–272                                                    inherited                                                                           (HMWK) de  ciency, 559
                   carbon dioxide transport, 122–123                                            acanthocytosis, 298, 298–299                                       Highpressure liquid chromatography (HPLC), 131
                   chemical composition, 120                                                    erythrocytic enzyme de ects, 299                                   Histiocytes, 169

                   con  guration, 120                                                           etiology, 295                                                      Histogram, 619
                   genetic hemoglobin abnormalities, 122                                        glucose-6-phosphate dehydrogenase                                  Histones, 63, 64
                   genetic inheritance, 120                                                            (G6PD), 299–300                                             HIV (see Human immunode  ciency virus)
                   heme pigment, 105                                                            hemoglobin molecule de ects, 295b                                  Hodgkin disease

                   heme portion, 121                                                            hereditary elliptocytosis (HE), 297                                   cytogenetic analysis, 434
                   ontogeny                                                                     hereditary hydrocytosis, 298, 298                                     epidemiology, 432
                       embryonic, 128                                                           hereditary pyropoikilocytosis (HPP), 297                              etiology, 432
                        etal, 128                                                               hereditary spherocytosis (HS), 296, 296                               laboratory   ndings, 432–433, 433

                       glycosylated/hemoglobin A1, 128–129                                      hereditary stomatocytosis, 298, 298                                   prognosis, 433
                       hemoglobin A, 128                                                        hereditary xerocytosis, 297–298                                       prognostic  actors, 434
                   oxygen alterations, 122                                                      neuroacanthocytosis (NA), 299                                         treatment, 434
                   oxygen dissociation, 121–122                                                 Rh  disease, 298                                                   Homeostatic proli eration, 191
                                                                                                    null
                   structure, 120, 120                                                          spur cell hemolytic anemia, 299                                    Horiba ABX Diagnostics, Inc., 625
                   variant  orms                                                                structural membrane de ects, 295–296                               Howell–Jolly bodies, 115, 132, 150, 151, 152
                       carboxyhemoglobin, 129                                                pathophysiology, 304–305                                              H  LV (see Human   -cell leukemia viruses)
                       methemoglobin, 129                                                Hemolytic disease o  the  etus and newborn                                Human Genome Project

                       sul  emoglobin, 129                                                             (HDFN), 205–206, 302–303                                       gene rearrangement studies, 654
               Hemoglobin C disease, 327, 327                                            Hemolytic trans usion reactions, 303–304                                     hematopathology, 654
               Hemoglobin D disease, 327                                                 Hemolytic-uremic syndrome (HUS), 517–518                                     minimal residual disease, 654
               Hemoglobin de ects                                                        Hemopexin, 133                                                            Human granulocytic ehrlichiosis (HGE), 342

                   demographics, 314, 314b                                               Hemophilia A                                                              Human immunode  ciency virus (HIV)
                   etiology                                                                  epidemiology, 551                                                        isolation, 4
                       abnormal hemoglobin, 315, 315b                                        etiology, 551, 552                                                       nosocomial transmission, 5
                       disease vs. trait, 315                                                laboratory   ndings, 552                                                 occupational exposure

                    etal hemoglobin, 328                                                     pathophysiology, 551–552                                                     blood-borne virus postexposure issues, 5
                   normal vs. sickle hemoglobin molecules, 314                               signs and symptoms, 551                                                      pathogens, 3
                   structure, 314                                                        Hemophilia B (christmas disease)                                                 sharps prevention, 5
               Hemoglobin E disease, 327–328                                                 epidemiology, 552                                                        sequence, 660

               Hemoglobin electrophoresis, cellulose acetate                                 etiology, 552                                                         Human stem cells (HSCs)
                              method, 681–683, 682                                           laboratory   ndings, 553                                                 bone cells, 92
               Hemoglobin F determination, 689, 689                                          signs and symptoms, 552–553                                              erythropoiesis, 91
                   by acid elution, 515, 515                                             Hemosiderin, 63                                                              granulopoiesis, 91

               Hemoglobin H disease, 328                                                 Hemosiderinuria, 133                                                         lymphopoiesis, 91
               Hemoglobin (Hb) measurement, 211                                          Hemostasis, 545                                                              macrophages, 91–92
               Hemoglobin molecule de ects, 295b                                             platelet  unction (see Platelets)                                        marrow stromal cells, 91
               Hemoglobin S (Hb S) screening test, 683                                       processes, 490                                                           mast cells, 91

               Hemoglobin SC disease, 322, 327                                           Henoch-Schonlein purpura (HSP), 506                                          megakaryopoiesis, 91
               Hemoglobincyanide, 130                                                    Heparin, 28                                                                  progenitor blood cells, 90–91
               Hemoglobinemia, 133                                                           in vitro anticoagulant, 28                                            Human   -cell leukemia viruses (H  LV), 376
               Hemoglobinopathies, 120 (see also Hemoglobin                                  in vivo anticoagulant, 28                                             Hydrophilic regions, 60

                              de ects)                                                   Heparin-induced thrombocytopenia (HI  ),                                  Hypercellular bone marrow, 450
               Hemoglobinuria, 305                                                                     510–512, 511                                                Hypercoagulable state, 563, 566t
               Hemolytic accelerated red cell destruction, 233                           Hepatitis-associated aplastic anemia, 245                                    antiphospholipid antibodies, 568–569
               Hemolytic anemias                                                         Hepatitis B virus (HBV)                                                      antiphospholipid syndrome, 569–570

                   acquired                                                                  blood-borne virus postexposure issues, 5                                 antithrombin III de  ciency
                       autoimmune hemolytic anemias (AIHA),                                  HBe antigen, 4                                                               decreased A  -III levels, acquired, 573
                              301–302                                                        nosocomial transmission, 5                                                   decreased A  -III levels, congenital, 573
                       chemicals and venoms, 300                                             occupational exposure                                                        heparin co actor de  ciency, 573

                       delayed reaction, 304                                                    pathogens, 3                                                          arterial and venous thrombosis, 563, 565
                       drug-induced immune hemolytic anemia                                     sharps prevention, 5                                                  blood clotting  actors, 566–567
                              (DIIHA), 304                                                   vaccination, 5                                                           circulating inhibitors, 567–568
                       etiology, 300, 301b                                               Hepatosplenomegaly, 84                                                        actor II, VII, IX, and X inhibitors, 568

                       immune mechanisms, 301                                            Hepcidin, 124, 265–267                                                        actor IX inhibitor, 568
                       in ectious microorganisms, 301, 302t                              Hereditary, 325                                                               actor V inhibitor, 568
                       isoimmune hemolytic anemia, 302–303                               Hereditary clotting de ects, 553–556, 553t, 554t,                             actor VIII inhibitor, 568
                       medical conditions, 304                                                         556t                                                            actor XI and XII inhibitors, 568

                       medication, 304                                                   Hereditary elliptocytosis (HE), 297, 297                                       brinogen,   brin, and  actor XIII inhibitors,
                       microangiopathic red cell destruction, 301                        Hereditary/ amilial thrombocytosis, 515–516                                             568
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