Hemoglobinopathy
(Redirected from Hemoglobinopathies)
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| Hemoglobinopathy | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Anemia, fatigue, jaundice, pain crisis |
| Complications | Stroke, acute chest syndrome, organ damage |
| Onset | Varies by type, often in childhood |
| Duration | Chronic |
| Types | Sickle cell disease, thalassemia, hemoglobin C disease, hemoglobin E disease |
| Causes | Genetic mutation in hemoglobin genes |
| Risks | Family history, ethnic background |
| Diagnosis | Blood test, genetic testing |
| Differential diagnosis | N/A |
| Prevention | N/A |
| Treatment | Blood transfusion, hydroxyurea, bone marrow transplant |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Common in certain populations, such as those of African, Mediterranean, Middle Eastern, and Southeast Asian descent |
| Deaths | N/A |
Hemoglobinopathy is a kind of genetic defect that results in abnormal structure of one of the globin chains of the hemoglobin molecule. Hemoglobinopathies are inherited single-gene disorders; in most cases, they are inherited as autosomal co-dominant traits.
Introduction
Hemoglobinopathies are often considered as a group, including thalassemia and sickle cell disease. They are common genetic disorders in the world, particularly in people of African, Mediterranean, and Southeast Asian ancestry.
Types of Hemoglobinopathy
There are many types of hemoglobinopathy, the most common of which are:
- Beta thalassemia - This is caused by reduced (beta+) or absent (beta0) synthesis of the beta globin chains of hemoglobin.
- Alpha thalassemia - This is caused by reduced (alpha+) or absent (alpha0) synthesis of the alpha globin chains of hemoglobin.
- Sickle cell disease - This is caused by a mutation in the HBB gene on chromosome 11. It is inherited in an autosomal recessive manner.
Symptoms
The symptoms of hemoglobinopathy can vary greatly depending on the specific type of disorder. Some people may have no symptoms or mild anemia, while others may have severe symptoms. Common symptoms can include:
- Fatigue and weakness
- Pale or yellowish skin
- Abdominal pain
- Dark urine
- Delayed growth and development in children
- Shortness of breath
Diagnosis
Hemoglobinopathies are diagnosed through blood tests that look for abnormal hemoglobin molecules. These tests can include:
- Complete blood count (CBC)
- Hemoglobin electrophoresis
- Genetic testing
Treatment
Treatment for hemoglobinopathies is aimed at managing symptoms and avoiding complications. This can include:
- Regular blood transfusions
- Medications to reduce pain and prevent complications
- Bone marrow transplant
See Also
References
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Contributors: Prab R. Tumpati, MD