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Introduction

Normal and abnormal Hb can be detected by electrophoresis, which matches hemolyzed RBC material against standard bands for the various Hb types known. The most common forms of normal adult Hb are HbA1, HbA2, and Hb F. Of the various types of abnormal Hb (hemoglobinopathies), the best known are Hb S (responsible for sickle cell anemia) and Hb C (results in a mild hemolytic anemia). The most common abnormality is a significant increase in HbA2, which is diagnostic of the thalassemias, especially beta-thalassemia trait. More than 350 variants of Hb have been recognized and identified.

Normal Findings

HbA1: 96.5%–98.5% or 0.96–0.985 mass fraction

HbA2: 1.5%–3.5% or 0.015–0.035 mass fraction

Hb F: 0%–1% or 0–0.01 mass fraction

Clinical Alert

The results may be questionable if a blood transfusion has been given in the months preceding testing