The article provides an example from clinical practice concerning the case when homozygotic beta-thalassemia was primarily diagnosed in female patient only in mature age because of lacking of manifesting clinical picture typical for this disease.

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In this report, we describe a case of homozygous delta-beta (δβ) thalassaemia, a rare genetic disorder characterized by severe deficiency in delta (δ) and beta (β)-globin chain production, leading to ineffective erythropoiesis and chronic haemolytic anaemia. The patient, a 26-year-old female with δβ-thalassaemia, experienced a miscarriage. High-performance liquid chromatography revealed 89.

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Article Synopsis
  • Thalassemia is a serious genetic blood disorder that requires frequent blood transfusions, and this report documents a unique case of a fetus diagnosed with both β-thalassemia major and the rare Klinefelter syndrome (48,XXYY).
  • Researchers used amniotic fluid samples for prenatal diagnosis, employing techniques like PCR and karyotype analysis to identify the fetal conditions.
  • The findings highlight the challenges in genetic counseling and prenatal diagnosis, especially regarding the unexpected presence of the rare Klinefelter syndrome alongside β-thalassemia major.
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Thalassemic diseases are characterized by a reduced (β) or absent (β) synthesis of the globin chains of hemoglobin (Hb) due to genetic mutations. β-thalassemia was more frequent in the Mediterranean area, but now it is diffused worldwide. Three possible genetic forms can be distinguished: β/β, the most severe (Cooley's disease); β/β of intermediate severity; β/β associated with β-thalassemia intermedia or minor.

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Impact of genotype on multi-organ iron and complications in patients with non-transfusion-dependent β-thalassemia intermedia.

Ann Hematol

June 2024

Department of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Via Moruzzi, 1, 56124, Pisa, Italy.

We evaluated the impact of the genotype on clinical and hematochemical features, hepatic and cardiac iron levels, and endocrine, hepatic, and cardiovascular complications in non-transfusion-dependent (NTD) β-thalassemia intermedia (TI) patients. Sixty patients (39.09 ± 11.

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Hemoglobin E (HbE), a common variant in Southeast Asian populations, results from a G to A substitution at codon 26 of the HBB gene, causing abnormal Hb and mild β-thalassemia-like symptoms. Here, we derived an induced pluripotent stem cell (iPSC) line, named MUi033-A, from a male homozygous for HbE. The iPSC line demonstrates a normal karyotype and embryonic stem cell-like properties including pluripotency gene expression, and tri-lineage differentiation potential.

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