Skip to content

Alpha-Globin (HBA2) 3.7 kb Deletion, Whole Blood — Qualitative

Published: August 9, 2026Updated: August 16, 2026

Detects a 3.7 kilobase deletion in the alpha-globin gene region, a change associated with alpha thalassemia.

Quick summary

["A positive result may identify a genetic form of alpha thalassemia, depending on the findings for the other alpha-globin genes."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
55251-3
Short code
HBA2 alpha 3.7kb Del Bld Ql
Synonyms
HBA2 alpha 3.7kb Del Bld Ql
Category
liver
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
84075
SNOMED
27550007
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test looks for a specific 3.7 kilobase deletion affecting the alpha-globin gene region, including the HBA2 gene. This deletion is one known cause of alpha thalassemia and is more common in people with Southeast Asian ancestry, although it can occur in any ancestry group.

Why might I need this test?

It may be ordered when blood counts or hemoglobin studies suggest a hemoglobin disorder, particularly when alpha thalassemia is a concern. It can also be used in family studies or genetic counseling.

How is the test performed?

A whole-blood sample is collected, and the laboratory analyzes DNA to determine whether the 3.7 kilobase deletion is present. The exact laboratory method may vary, and the result is reported as detected or not detected.

How do I prepare for the test?

No special preparation is usually required. Follow any instructions provided by the ordering clinician or laboratory, especially if testing is part of a broader genetic evaluation.

Reference range

Adult: 44-147 U/LN/A

Specimen: whole-blood

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Detecting this deletion may indicate a carrier of alpha thalassemia, including a silent carrier when only one alpha-globin copy is affected. The clinical interpretation depends on the status of the other alpha-globin genes, so this result should be reviewed alongside the complete genetic report. A result that is not detected does not rule out other alpha-thalassemia variants.

Short name

Alpha-thalassemia 3.7 kb deletion test

Frequently asked questions

Does a positive result mean I have alpha thalassemia?
It means the 3.7 kilobase alpha-globin deletion is present. Depending on the remaining alpha-globin genes, this can represent a silent carrier, alpha-thalassemia trait, or a more extensive alpha-thalassemia condition.
Can I have alpha thalassemia even if this test is negative?
Yes. Other deletions, gene variants, or changes that are not detected by this test can cause alpha thalassemia. Additional genetic testing may be needed if the clinical findings remain concerning.
Will this test diagnose every type of thalassemia?
No. It specifically checks for the 3.7 kilobase alpha-globin deletion and does not evaluate beta-thalassemia or all other alpha-thalassemia changes.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy