“…To assess tissue necrosis in b-thalassemia major patients, as in other areas of medicine (La Due et al 1954, DeRitis et al 1957, Wroblewski & Gregory 1961, Nakamura et al 1967, Bauer et al 1974, Wallach 1978, Adolph & Lorenz 1982 Lazaros E. Tsalikis 1 , Eleftherios G. Kaklamanos 2 , Smaragda Kavadia-Tsatala 3 , Eleni Chasapopoulou 4 and Ifigenia Pidonia-Manika 5 1982), lactate dehydrogenase (LDH), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) have been widely used, because they comprise soluble intracytoplasmic enzymes, confined to the cytoplasm but released on cell death. Serum LDH is mildly elevated because of ineffective erythropoiesis and has been used to monitor intramedullary hemolysis (Toren et al 1996).…”