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Kar R et al. - Taking the MFI range of 5341·1-10 557·5 for HS, eight cases of suspected HS/undiagnosed hemolytic anemia with a negative or equivocal incubated OFT were diagnosed as HS. An increase in HbF level was seen in 10 cases ranging from 2·1 to 17·7% with a mean of 5·66%, three of these had associated beta thalassaemia trait. Twelve patients (17%) underwent splenectomy and 91% of them did not require any BT post-splenectomy. Among the patients treated conservatively 49% had persisting pallor and 16·3% had transfusion requirement.


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