Fatih SUMER, Mustafa Kemal KİLİC, Zekeriya ULGER, Ramazan CİVELEK, Muhammet Cemal KİZİLARSLANOGLU

Extraordinarily Low Level of HbA1c due to Hemolytic Anemia

HbA1c ölçümü diyabetik hastalarda son 3 ay içerisindeki kan glukoz düzeyleri hakkında bize fikir vermektedir. İlaçlar, anemi (hemolitik anemi, hemoglobinopatiler vs.), alkolizm ve böbrek yetmezliği gibi bazı durumlar eritrosit yaşam süresini kısaltarak HbA1c düzeylerini etkileyebilmektedir. Burada, çok nadir görülen bir olguyu, kronik lenfositik lösemi ile ilişkili immün hemolitik anemi nedeniyle meydana gelen çok düşük HbA1c düzeyi görülen (%2,7) yaşlı bir erkek hastayı sunuyoruz.

Hemolitik Anemi Nedeniyle Oluşan Çok Düşük HbA1c Düzeyi

HbA1c measurement gives us information about glycemic levels in patients with diabetes mellitus for the last 3 months. Some factors such as drugs, anemia (hemolytic anemia, hemoglobinopathies etc.), alcoholism, renal failure may affect HbA1c levels via decreasing erythrocyte survival. Herein, we report a very rare clinical presentation of a case of geriatric male patient with an extraordinarily low level of HbA1c (2.7%) which was caused by immune hemolytic anemia associated with chronic lymphocytic leukemia.

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