Different severity of homozygous β-thalassemia among siblings
✍ Scribed by P. Winichagoon; S. Fucharoen; V. Thonglairoam; P. Wasi
- Book ID
- 104703987
- Publisher
- Springer
- Year
- 1987
- Tongue
- English
- Weight
- 172 KB
- Volume
- 76
- Category
- Article
- ISSN
- 0340-6717
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✦ Synopsis
Different degrees of severity of anemia are presented in three siblings with homozygous beta-thalassemia. II-1, the most severely affected one, is splenectomized and needs frequent blood transfusion, while II-4 has mild anemia and never receives transfusion. II-3 has moderate anemia and mild jaundice and hepatosplenomegaly. Restriction endonuclease DNA mapping revealed the alpha-thalassemia-2 genes in II-3 and II-4 and no alpha-thalassemia-2 haplotype in II-1. Furthermore, II-4, who is mildly affected, is homozygous for alpha-thalassemia-2 whereas II-3 is an alpha-thalassemia-2 heterozygote. These observations indicate that concomitant inheritance of alpha-thalassemia can decrease the severity of beta-thalassemia.
📜 SIMILAR VOLUMES
The degree of anemia in p'-thalassemia/hemoglobin E disease is highly variable. As part of an attempt to identify determinants of this variability of severity we studied concordance and discordance of hemoglobin levels among sib pairs. The distribution of differences of hemoglobin levels in 216 sib