Hb Phnom Penh Showing Falsely High or Reasonable HbA1c Values Depending on the Type of High-performance Liquid Chromatography System

Autor: Rika Naruse, Takafumi Tsuchiya, Toshihiko Inukai, Mototaka Yamauchi, Kenji Hara, Koshi Hashimoto, Masafumi Koga, Kohzo Takebayashi, Hiroyuki Shinozaki, Tatsuhiko Suzuki
Rok vydání: 2020
Předmět:
Zdroj: Internal Medicine
ISSN: 1349-7235
0918-2918
DOI: 10.2169/internalmedicine.3306-19
Popis: We herein report a 50-year-old Chinese woman with Hb Phnom Penh (α117Phe-Ile-α118Thr) showing high or reasonable HbA1c values depending on the type of high-performance liquid chromatography (HPLC) system. A high HbA1c value of 7.5% (HPLC assay: G9) and a reasonable HbA1c value of 5.2% (assay unknown) were observed. Therefore, the patient was refereed to our hospital; the oral glucose tolerance test showed normal glucose tolerance. The HbA1c values measured by an enzymatic assay, immunoassay, and affinity assay, as well as most HPLC assays were within the reference range, whereas those measured by the Tosoh HPLC systems were high.
Databáze: OpenAIRE