Hereditary persistence of fetal hemoglobin (HPFH) is a benign condition in which significant fetal hemoglobin production continues well into adulthood, disregarding the normal shutoff point after which only adult-type hemoglobin should be produced. The percentage of incorrect expression might be as low as 10%–15% or as high as 100% of the total hemoglobin, usually higher in homozygotes than in heterozygotes. The present case is a typical example of homozygous HPFH.
Leukemias are malignant neoplasm of the haematopoietic stem cells, arising in the bone marrow that flood the circulating blood or other organs. The objective of this study was to find out the effect of leukemia on liver and renal function of the patients at our institute. Present study is a prospective study which includes the findings and observations of 25 patients diagnosed with leukemia of various types such as acute lymphoblastic leukemia, acute myeloid leukemia, chronic myeloid leukemia and chronic lymphocytic leukemia. Diagnosis of the patients were made by their peripheral smear examination and various parameters counted by automated haematology analyzer and their confirmation was made by using special stains and bone marrow examination. Liver and renal function tests were performed in the patients and results were observed. In acute myeloid leukemia liver function tests were found altered with mainly rise in serum alkaline and alanine transferase, in acute lymphoblastic leukemia, there was marked increase in alkaline phosphatase with normal or decreased SGOT and SGPT value, in chronic myeloid leukemia increase in uric acid was observed with slight fluctuating values in SGOT/SGPT but no significant changes were seen in patients with chronic lymphocytic leukemia.
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