Atypical HbH disease in a Surinamese patient resulting from a combination of the −SEA and −α3.7 deletions with HbC heterozygosity

The first case of haemoglobin H (HbH) disease in combination with haemoglobin C (HbC) is reported in a man of Surinamese origin. Only haemoglobin A (HbA) and HbC were detected by electrophoresis. The amount of HbC was much less than expected in HbC heterozygotes. The synthesis ratio (βA +βC/α) indic...

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Veröffentlicht in:British journal of haematology 1997-03, Vol.96 (4), p.801-805
Hauptverfasser: GIORDANO, P. C., HARTEVELD, C. L., MICHIELS, J. J., TERPSTRA, W., BATELAAN, D., VAN DELFT, P., PLUG, R. J., VAN DER WIELEN, M. J. R., LOSEKOOT, M., BERNINI, L. F.
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container_issue 4
container_start_page 801
container_title British journal of haematology
container_volume 96
creator GIORDANO, P. C.
HARTEVELD, C. L.
MICHIELS, J. J.
TERPSTRA, W.
BATELAAN, D.
VAN DELFT, P.
PLUG, R. J.
VAN DER WIELEN, M. J. R.
LOSEKOOT, M.
BERNINI, L. F.
description The first case of haemoglobin H (HbH) disease in combination with haemoglobin C (HbC) is reported in a man of Surinamese origin. Only haemoglobin A (HbA) and HbC were detected by electrophoresis. The amount of HbC was much less than expected in HbC heterozygotes. The synthesis ratio (βA +βC/α) indicated an α‐thalassaemia defect with two non‐functional α genes, which did not correlate with the degree of haemolysis and anaemia displayed by the patient. The DNA analysis of the α‐genes clusters revealed a defect combination −SEA/−α3.7. The haematological data and the physiopathology of this atypical case are compared with the typical HbH disease found in a first cousin of the propositus. Data on the globin chains expression and on the formation of βA and βC homotetramers in HbH/HbC disease are presented.
doi_str_mv 10.1046/j.1365-2141.1997.d01-2093.x
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The synthesis ratio (βA +βC/α) indicated an α‐thalassaemia defect with two non‐functional α genes, which did not correlate with the degree of haemolysis and anaemia displayed by the patient. The DNA analysis of the α‐genes clusters revealed a defect combination −SEA/−α3.7. The haematological data and the physiopathology of this atypical case are compared with the typical HbH disease found in a first cousin of the propositus. Data on the globin chains expression and on the formation of βA and βC homotetramers in HbH/HbC disease are presented.</description><subject>Anemias. 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F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atypical HbH disease in a Surinamese patient resulting from a combination of the −SEA and −α3.7 deletions with HbC heterozygosity</atitle><jtitle>British journal of haematology</jtitle><date>1997-03</date><risdate>1997</risdate><volume>96</volume><issue>4</issue><spage>801</spage><epage>805</epage><pages>801-805</pages><issn>0007-1048</issn><eissn>1365-2141</eissn><coden>BJHEAL</coden><abstract>The first case of haemoglobin H (HbH) disease in combination with haemoglobin C (HbC) is reported in a man of Surinamese origin. Only haemoglobin A (HbA) and HbC were detected by electrophoresis. The amount of HbC was much less than expected in HbC heterozygotes. The synthesis ratio (βA +βC/α) indicated an α‐thalassaemia defect with two non‐functional α genes, which did not correlate with the degree of haemolysis and anaemia displayed by the patient. The DNA analysis of the α‐genes clusters revealed a defect combination −SEA/−α3.7. The haematological data and the physiopathology of this atypical case are compared with the typical HbH disease found in a first cousin of the propositus. Data on the globin chains expression and on the formation of βA and βC homotetramers in HbH/HbC disease are presented.</abstract><cop>Oxford, U.K. and Cambridge, USA</cop><pub>Blackwell Science Ltd</pub><doi>10.1046/j.1365-2141.1997.d01-2093.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Free Content; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Anemias. Hemoglobinopathies
Biological and medical sciences
Diseases of red blood cells
haemoglobin
haemoglobinopathy
HbC
HbH disease
Hematologic and hematopoietic diseases
Medical sciences
thalassaemia
title Atypical HbH disease in a Surinamese patient resulting from a combination of the −SEA and −α3.7 deletions with HbC heterozygosity
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