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SulfHbSulfhemoglobin (form of hemoglobin)
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The components of Drabkin reagent lysed red blood cells and reacted with all forms of Hb except sulfhemoglobin present in the sample, converting them to cyanmethemoglobin, a stable brownish-colored compound.
Other rare causes include sulfhemoglobin (hydrogen sulfite poisoning, sumatriptan) and, as in this case, hemoglobin variants with reduced oxygen affinity (6).