文摘
We describe hematologic and molecular characteristics of a hitherto undescribed interaction between the Filipino deletional ¦Â0-thalassemia with Hb E and ¦Á-thalassemia in a Thai family. This study was conducted during the prenatal screening of a pregnant Thai woman and her family members. A prenatal diagnosis was performed at her?second pregnancy by amniocentesis. Laboratory investigations identified that the pregnant woman was Hb E heterozygote with ¦Á+-thalassemia, whereas her husband was a double heterozygote for the Filipino deletional ¦Â0-thalassemia and ¦Á+-thalassemia. Their affected son was a patient with a previously undescribed condition of Hb E-¦Â0-thalassemia with ¦Á+-thalassemia. Both a combined gap-polymerase chain reaction (PCR) and allele-specific PCR were used successfully in the prenatal diagnosis, which identified an affected fetus with Hb E-¦Â0-thalassemia without ¦Á+-thalassemia. Beta globin gene haplotype analysis indicated the same origin of this Filipino ¦Â0-thalassemia in Asian populations.