Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman

<p>Only four cases of Hb I-Toulouse have been reported to date. Current literature associates Hb I-Toulouse in the heterozygote with a mild chronic hemolytic anemia. The variant is mildly unstable with a tendency to form metHb. The quantity of the variant in heterozygotes has been reported as...

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Main Author: Beverley Pullon
Format: Article
Language:English
Published: MDPI AG 2016-11-01
Series:Thalassemia Reports
Subjects:
Online Access:http://www.pagepressjournals.org/index.php/thal/article/view/6044
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author Beverley Pullon
author_facet Beverley Pullon
author_sort Beverley Pullon
collection DOAJ
description <p>Only four cases of Hb I-Toulouse have been reported to date. Current literature associates Hb I-Toulouse in the heterozygote with a mild chronic hemolytic anemia. The variant is mildly unstable with a tendency to form metHb. The quantity of the variant in heterozygotes has been reported as varying between 33 to 40%. This report confirms the finding from a single case, that a reduced percentage of Hb IToulouse along with microcytosis can be attributed to the co-inheritance of an abnormal α globin genotype. This current case was found in a woman of Pacific People ethnicity residing in New Zealand. There is a high prevalence of α thalassemia in this ethnic group and New Zealand has the highest Pacific population in the world. Therefore, if a reduced percentage of Hb I-Toulouse is found with microcytosis and normal iron studies, co-inheritance with α thalassemia should be considered.</p><p> </p><p>目前仅有四例Hb I-Toulouse的病例报告。 当前的文献将杂合子中的Hb I-Toulouse与慢性溶血性贫血相关联。 这种变异体轻度不稳定,有形成高铁血红蛋白(metHb)的倾向。 杂合子中变异体数量据报道为33%至40%不等。 本报告证实从单一病例得到的结果,即伴有小红细胞症的更低Hb I-Toulouse百分比可被归结为异常α球蛋白基因型的合并遗传。 该例当前病例在一名居住在新西兰的太平洋诸岛族裔女性身上发现。 在这个族群中存在较高的α地中海贫血患病率,而在全世界新西兰的太平洋诸岛族裔人口最多。 因此,如果发现Hb I-Toulouse的百分比更低,同时伴有小红细胞症并且检查铁含量正常,则应考虑α地中海贫血的合并遗传。</p>
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spelling doaj.art-47027c2ecfae4ec18700427808ca2b352023-01-02T23:41:00ZengMDPI AGThalassemia Reports2039-43572039-43652016-11-016110.4081/thal.2016.60445012Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island womanBeverley Pullon0Hematology Department, Waikato Hospital<p>Only four cases of Hb I-Toulouse have been reported to date. Current literature associates Hb I-Toulouse in the heterozygote with a mild chronic hemolytic anemia. The variant is mildly unstable with a tendency to form metHb. The quantity of the variant in heterozygotes has been reported as varying between 33 to 40%. This report confirms the finding from a single case, that a reduced percentage of Hb IToulouse along with microcytosis can be attributed to the co-inheritance of an abnormal α globin genotype. This current case was found in a woman of Pacific People ethnicity residing in New Zealand. There is a high prevalence of α thalassemia in this ethnic group and New Zealand has the highest Pacific population in the world. Therefore, if a reduced percentage of Hb I-Toulouse is found with microcytosis and normal iron studies, co-inheritance with α thalassemia should be considered.</p><p> </p><p>目前仅有四例Hb I-Toulouse的病例报告。 当前的文献将杂合子中的Hb I-Toulouse与慢性溶血性贫血相关联。 这种变异体轻度不稳定,有形成高铁血红蛋白(metHb)的倾向。 杂合子中变异体数量据报道为33%至40%不等。 本报告证实从单一病例得到的结果,即伴有小红细胞症的更低Hb I-Toulouse百分比可被归结为异常α球蛋白基因型的合并遗传。 该例当前病例在一名居住在新西兰的太平洋诸岛族裔女性身上发现。 在这个族群中存在较高的α地中海贫血患病率,而在全世界新西兰的太平洋诸岛族裔人口最多。 因此,如果发现Hb I-Toulouse的百分比更低,同时伴有小红细胞症并且检查铁含量正常,则应考虑α地中海贫血的合并遗传。</p>http://www.pagepressjournals.org/index.php/thal/article/view/6044I-Toulousealpha thalassemiahomozygosity-α3.7Pacific PeopleNew Zealand.
spellingShingle Beverley Pullon
Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman
Thalassemia Reports
I-Toulouse
alpha thalassemia
homozygosity-α3.7
Pacific People
New Zealand.
title Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman
title_full Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman
title_fullStr Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman
title_full_unstemmed Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman
title_short Hb I-Toulouse in association with homozygosity for the α3.7 deletion in a Pacific Island woman
title_sort hb i toulouse in association with homozygosity for the α3 7 deletion in a pacific island woman
topic I-Toulouse
alpha thalassemia
homozygosity-α3.7
Pacific People
New Zealand.
url http://www.pagepressjournals.org/index.php/thal/article/view/6044
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