ARUP's Laboratory Test Directory

Hemoglobin Lepore (HBD/HBB Fusion) 3 Mutations : 2004686
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Patient History for Hemoglobinopathy/Thalassemia Testing
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Additional Technical Information


Mnemonic: LEPORE

Ordering Recommendation: Order to confirm the diagnosis of Hb Lepore following suggestive hemoglobin evaluation.
Methodology: Qualitative Polymerase Chain Reaction/Qualitative Electrophoresis
Performed: Tue, Fri
Reported: 7-10 days
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA). Also acceptable: Yellow (ACD Solution A or B), lt. blue (sodium citrate), green (sodium or lithium heparin).

Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)

Storage/Transport Temperature: Refrigerated.

Stability (collection to initiation of testing): Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable

Reference Interval:
By report
Interpretive Data: Background information for Hemoglobin Lepore (HBD/HBB Fusion) 3 Mutations:
Characteristics:
Hb Lepore is a hemoglobin variant resulting from a fusion between the delta globin gene (HBD) and the beta globin gene (HBB). Hb Lepore is classified as a beta-plus thalassemia mutation, as it results in reduced beta globin chain synthesis and in its heterozygous form is associated with mild anemia, hypochromic microcytosis, and moderately increased fetal hemoglobin.
Incidence:
Most common in southern Europeans.
Inheritance:
Autosomal recessive.
Cause
: Delta/beta globin gene rearrangements.
Mutations tested:
Hb Lepore-Washington-Boston (g.63632_71046del), Hb Lepore-Baltimore (g.63564_70978del), and Hb Lepore-Hollandia (g.63290_70702del).
Clinical Sensitivity:
Unknown.
Methodology:
Multiplex PCR and gel electrophoresis to detect the three common Hb Lepore mutations.
Analytical Sensitivity and Specificity:
99 percent.
Limitations:
Only the three common Hb Lepore mutations will be detected. Rare diagnostic errors can occur due to primer site mutations.



Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com.

See Compliance Statement C: www.aruplab.com/CS
CPT Code(s): 81479