• Title/Summary/Keyword: Dominantly inherited ${\beta}$ thalassemia

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A Case of Dominantly Inherited β Thalassemia Due to Hb Dieppe (Hb Dieppe에 의한 우성유전 베타 지중해빈혈 1례)

  • Choi, You Kyoung;Lee, Hong Jin;Park, Won Il;Lee, Kyung Ja;Kang, Sung Ha;Kim, Ji Yeon;Park, Sung Sup
    • Clinical and Experimental Pediatrics
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    • v.45 no.5
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    • pp.659-663
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    • 2002
  • ${\beta}$ thalassemias are usually transmitted as autosomal recessive traits. However, some dominant forms of ${\beta}$ thalassemia have been identified in individuals who have inherited a single copy of an abnormal ${\beta}$ globin gene. Thalassemia intermedia with mild anemia, jaundice, and splenomegaly has been observed in these patients. Electrophoresis has shown elevated Hemoglobin(Hb) $A_2$ and Hb F levels. In particular, there are inclusion bodies in the erythroid precursors and peripheral red blood cells after splenectomy. The molecular basis of these dominant ${\beta}$ thalassemias is heterogeneous. The authors studied the first Korean case of dominantly inherited ${\beta}$ thalassemia due to Hb Dieppe. Hb Dieppe is a missense mutation of ${\beta}$ codon $127(CAG{\rightarrow}CGG)Gln{\rightarrow}Arg$. The patient in this case was characterized by moderate anemia, hypochromia, microcytosis, elevated Hb $A_2$ levels, elevated Hb F levels and splenomegaly. The father of the patient also has the same disease. We report this case and review related literature.