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

  • Hara Kenji
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Koga Masafumi
    Department of Internal Medicine, Hakuhokai Central Hospital, Japan
  • Shinozaki Hiroyuki
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Yamauchi Mototaka
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Suzuki Tatsuhiko
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Naruse Rika
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Tsuchiya Takafumi
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Takebayashi Kohzo
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Inukai Toshihiko
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan
  • Hashimoto Koshi
    Department of Diabetes, Endocrinology and Hematology, Dokkyo Medical University Saitama Medical Center, Japan

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抄録

<p>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. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 59 (6), 805-809, 2020-03-15

    一般社団法人 日本内科学会

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