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Alpha Thalassemia

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Diagnostic Molecular Pathology in Practice

Abstract

A pregnant couple presented for evaluation of possible alpha thalassemia trait. Because both prospective parents were of Egyptian ancestry, routine screening for thalassemia trait was indicated. Hematologic testing showed that the mother was microcytic [mean red-cell volume (MCV) 75 fL] with a HbA2 fraction of 2.5% and a normal hemoglobin electrophoresis. The father had a similar picture (MCV 77 fL, HbA2 2.3%, normal hemoglobin electrophoresis). Iron studies were normal, and the normal HbA2 results effectively ruled out beta thalassemia trait. DNA testing for alpha thalassemia was therefore performed, but both parents were negative for six common deletional mutations that cause most cases of alpha thalassemia.

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References

  1. Huisman THJ, Carver MFH, Baysal E (1997) A syllabus of thalassemia mutations. The Sickle Cell Anemia Foundation, Augusta

    Google Scholar 

  2. Huisman THJ, et al. (1997) The globin gene server. http://globin.cse.psu.edu/ Accessed 20 May 2010

  3. Weatherall DJ, Clegg JB (2001) The thalassaemia syndromes, 4th edn. Blackwell Science, Oxford

    Book  Google Scholar 

  4. Orkin SH, Goff SC, Hechtman RL (1981) Mutation in an intervening sequence splice junction in man. Proc Natl Acad Sci 78:5041–5045

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  5. Felber BK, Orkin SH, Hamer DH (1982) Abnormal RNA splicing causes one form of alpha thalassemia. Cell 29:895–902

    Article  PubMed  CAS  Google Scholar 

  6. Smetanina NS, Oner C, Baysal E et al (1996) The relative levels of alpha 2-, alpha 1-, and zeta-mRNA in HB H patients with different deletional and nondeletional alpha-thalassemia determinants. Biochim Biophys Acta 1316:176–182

    Article  PubMed  Google Scholar 

  7. Higgs DR, Weatherall DJ (2009) The alpha thalassaemias. Cell Mol Life Sci 66:1154–1162

    Article  PubMed  CAS  Google Scholar 

  8. Chui DHK et al (2003) Hemoglobin H disease: not necessarily a benign disorder. Blood 101:791–800

    Article  PubMed  CAS  Google Scholar 

  9. Old JM (2003) Screening and genetic diagnosis of haemoglobin disorders. Blood 17:43–54

    Article  CAS  Google Scholar 

  10. Galanello R, Cao A (2008) Alpha-thalassemia. GeneReviews. http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=a-thal. Accessed 16 May 2010

  11. Bain BJ (2006) Haemoglobinopathy diagnosis, 2nd edn. Blackwell Science, Oxford

    Book  Google Scholar 

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Correspondence to Jonathan F. Tait .

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© 2011 Springer-Verlag Berlin Heidelberg

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Pritchard, C.C., Tait, J.F. (2011). Alpha Thalassemia. In: Schrijver, I. (eds) Diagnostic Molecular Pathology in Practice. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19677-5_3

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  • DOI: https://doi.org/10.1007/978-3-642-19677-5_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-19676-8

  • Online ISBN: 978-3-642-19677-5

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