When sickle cell disease is suspected by the HPLC pattern usually additional tests are performed to confirm the diagnosis. Ultimately it would be best to perform mutation analysis.
It should be kept in mind that migrant children may not have been screened in the neonatal periodĀ in the country of origin.
They may present with features of sickle cell disease such as:
Unexplained bone pain
Paleness
Hand-foot syndrome