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ASH Image Bank (2004); doi:10.1182/ashimagebank-2004-100983
Copyright © 2004 by the American Society of Hematology.
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Atlas Image Set

Kleihauer-Betke Hemoglobin F Acid Resistance

John Lazarchick



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Figure 1. Hemoglobin F in RBCs is resistant to acid elution. Cells containing hemoglobin F stain bright red with eosin, while those without hemoglobin F appear as colorless ghosts.

 


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Figure 2. RBCs of a normal adult appear colorless after RBC acid elution and eosin counterstaining.

 


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Figure 3. This blood smear is from a postpartum patient who had a significant fetal-maternal hemorrhage during delivery. The fetal RBCs with high hemoglobin F are bright red while the maternal RBCs show either faint staining or are colorless.

 


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Figure 4. Blood smear form a patient with beta thalassemia shows bright colored cells, intermediate staining cells and colorless cells reflecting the uneven distribution of hemoglobin F among the RBCs. In another thalassemia, hereditary persistence of fetal hemoglobin, all RBCs will stain bright red.

 

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Beta thal/HbE
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Related ASH Education Book Articles logo
Hemoglobinopathies
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Hematology 2003 2003: 14-39. [Abstract] [Full Text]

Thalassemia
Alan R. Cohen, Renzo Galanello, Dudley J. Pennell, Melody J. Cunningham, and Elliott Vichinsky
Hematology 2004 2004: 14-34. [Abstract] [Full Text]



Related ASH-SAP Chapter:space logo
Chapter 6: Hemolytic anemias

This Article
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Copyright © 2004 by the American Society of Hematology.