Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease

Hemoglobin Aalborg is a moderately unstable hemoglobin variant with no affiliation to serious hematological abnormality or major clinical symptoms under normal circumstances. Our index person was a healthy woman of 58, not previously diagnosed with hemoglobinopathy Aalborg, who developed acute respi...

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Main Authors: Vasiliki Panou, Peter-Diedrich Mathias Jensen, Jan Freddy Pedersen, Lars Pilegaard Thomsen, Ulla Møller Weinreich
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2014/701839
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author Vasiliki Panou
Peter-Diedrich Mathias Jensen
Jan Freddy Pedersen
Lars Pilegaard Thomsen
Ulla Møller Weinreich
author_facet Vasiliki Panou
Peter-Diedrich Mathias Jensen
Jan Freddy Pedersen
Lars Pilegaard Thomsen
Ulla Møller Weinreich
author_sort Vasiliki Panou
collection DOAJ
description Hemoglobin Aalborg is a moderately unstable hemoglobin variant with no affiliation to serious hematological abnormality or major clinical symptoms under normal circumstances. Our index person was a healthy woman of 58, not previously diagnosed with hemoglobinopathy Aalborg, who developed acute respiratory failure after a routine cholecystectomy. Initially she was suspected of idiopathic interstitial lung disease, yet a series of tests uncovered various abnormal physiological parameters and set the diagnosis of hemoglobinopathy Aalborg. This led us to examine a group of the index person’s relatives known with hemoglobinopathy Aalborg in order to study whether the same physiological abnormalities would be reencountered. They were all subjected to spirometry and body plethysmography, six-minute walking test, pulse oximetry, and arterial blood gas samples before and after the walking test. The entire study population presented the same physiological anomalies: reduction in diffusion capacity, and abnormalities in PaO2 and p50 values; the latter could not be presented by the arterial blood gas analyzer; furthermore there was concordance between pulse oximetry and arterial blood gas samples regarding saturation. These data suggest that, based upon the above mentioned anomalies in physiological parameters, the diagnosis of hemoglobinopathy Aalborg should be considered.
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institution Kabale University
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publishDate 2014-01-01
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series Pulmonary Medicine
spelling doaj-art-8eb0d0b219914e47a74c7eb231fdf5522025-02-03T01:04:57ZengWileyPulmonary Medicine2090-18362090-18442014-01-01201410.1155/2014/701839701839Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary DiseaseVasiliki Panou0Peter-Diedrich Mathias Jensen1Jan Freddy Pedersen2Lars Pilegaard Thomsen3Ulla Møller Weinreich4Department of Respiratory Diseases, Aalborg University Hospital, Mølleparkvej 4, 9000 Aalborg, DenmarkDepartment of Haematology, Aalborg University Hospital, DenmarkDepartment of Clinical Biochemistry, Aalborg University Hospital, DenmarkRespiratory and Critical Care Group (RCARE), Centre for Model Based Medical Decision Support Systems, Department of Health Science and Technology, Aalborg University, DenmarkDepartment of Respiratory Diseases, Aalborg University Hospital, Mølleparkvej 4, 9000 Aalborg, DenmarkHemoglobin Aalborg is a moderately unstable hemoglobin variant with no affiliation to serious hematological abnormality or major clinical symptoms under normal circumstances. Our index person was a healthy woman of 58, not previously diagnosed with hemoglobinopathy Aalborg, who developed acute respiratory failure after a routine cholecystectomy. Initially she was suspected of idiopathic interstitial lung disease, yet a series of tests uncovered various abnormal physiological parameters and set the diagnosis of hemoglobinopathy Aalborg. This led us to examine a group of the index person’s relatives known with hemoglobinopathy Aalborg in order to study whether the same physiological abnormalities would be reencountered. They were all subjected to spirometry and body plethysmography, six-minute walking test, pulse oximetry, and arterial blood gas samples before and after the walking test. The entire study population presented the same physiological anomalies: reduction in diffusion capacity, and abnormalities in PaO2 and p50 values; the latter could not be presented by the arterial blood gas analyzer; furthermore there was concordance between pulse oximetry and arterial blood gas samples regarding saturation. These data suggest that, based upon the above mentioned anomalies in physiological parameters, the diagnosis of hemoglobinopathy Aalborg should be considered.http://dx.doi.org/10.1155/2014/701839
spellingShingle Vasiliki Panou
Peter-Diedrich Mathias Jensen
Jan Freddy Pedersen
Lars Pilegaard Thomsen
Ulla Møller Weinreich
Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease
Pulmonary Medicine
title Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease
title_full Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease
title_fullStr Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease
title_full_unstemmed Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease
title_short Hemoglobin Variant (Hemoglobin Aalborg) Mimicking Interstitial Pulmonary Disease
title_sort hemoglobin variant hemoglobin aalborg mimicking interstitial pulmonary disease
url http://dx.doi.org/10.1155/2014/701839
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AT larspilegaardthomsen hemoglobinvarianthemoglobinaalborgmimickinginterstitialpulmonarydisease
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