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Neonatal Cyanosis Due to Hemoglobin Variant: Hb F-Sarajevo.

Abstract
Neonatal cyanosis is rarely due to hemoglobin variants with low oxygen affinity. We describe the clinical course and results of molecular genetic analysis of a boy who presented after birth with severe cyanosis. Arterial blood-gas analysis demonstrated a pronounced shift of the oxygen-hemoglobin dissociation curve to the right and molecular genetic analysis revealed a γ-globin variant, Hb F-Sarajevo. The patient presented is the second reported case of neonatal cyanosis due to this mutation, which was first described in 2012 by Zimmermann-Baer and coauthors. With the introduction of universal screening for congenital heart disease, the finding of low oxygen saturation will uncover more neonates with hemoglobinopathies with low oxygen affinity.
AuthorsJana Lozar-Krivec, Maja Stepic, Tinka Hovnik, Mladen Krsnik, Darja Paro-Panjan
JournalJournal of pediatric hematology/oncology (J Pediatr Hematol Oncol) Vol. 38 Issue 7 Pg. e267-70 (10 2016) ISSN: 1536-3678 [Electronic] United States
PMID27571121 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Hemoglobins, Abnormal
  • Fetal Hemoglobin
Topics
  • Cyanosis (genetics)
  • Fetal Hemoglobin (genetics)
  • Hemoglobins, Abnormal (genetics)
  • Humans
  • Infant, Newborn
  • Male
  • Mutation

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