The clinical severity of hemoglobin S/Black (A γδβ)0 -thalassemia

Pediatr Blood Cancer. 2017 Nov;64(11):10.1002/pbc.26596. doi: 10.1002/pbc.26596. Epub 2017 Apr 28.

Abstract

Hemoglobin S/Black (A γδβ)0 -thalassemia is a rare sickle cell disease (SCD) variant. On the basis of limited descriptions in the literature, the disease is reported as a mild microcytic anemia with an uncomplicated course. We report the clinical and laboratory data of nine patients whose diagnoses were confirmed by DNA-based techniques. Despite having mild anemia and high fetal hemoglobin level postinfancy, these patients developed many of the classic complications of SCD, including vaso-occlusive crisis, acute chest syndrome, avascular necrosis, and cholelithiasis. On the basis of these findings, we recommend that patients with this rare disorder receive specialized hematology care according to SCD guidelines.

Keywords: Gγ(Aγδβ)0 thalassemia; sickle cell anemia; sickle cell disease; sickle gamma delta beta thalassemia; thalassemia.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Anemia, Sickle Cell / genetics
  • Anemia, Sickle Cell / pathology*
  • Black or African American / genetics*
  • Child
  • Child, Preschool
  • Female
  • Fetal Hemoglobin / genetics*
  • Hemoglobin, Sickle / genetics*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Prognosis
  • Severity of Illness Index
  • Thalassemia / genetics
  • Thalassemia / pathology*
  • Young Adult

Substances

  • Hemoglobin, Sickle
  • Fetal Hemoglobin