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Thalassemia

Thalassemia
Synonyms thalassaemia, Mediterranean anemia
Delta Beta Thalassemia.jpg
Peripheral blood film from a person with Delta Beta thalassemia
Classification and external resources
Specialty Hematology
ICD-10 D56
ICD-9-CM 282.4
OMIM 141800 141850 142310 604131 141800 141850 142310 604131
DiseasesDB 448 33334
MedlinePlus 000587
eMedicine article/958850 article/206490 article/955496 article/396792
Patient UK Thalassemia
MeSH D013789
GeneReviews
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Thalassemias are inherited blood disorders that can result in the abnormal formation of hemoglobin. Symptoms depend on the type and can vary from none to severe. Often there is mild to severe anemia (low red blood cells). Anemia can result in feeling tired and pale skin. There may also be bone problems, an enlarged spleen, yellowish skin, dark urine, and among children slow growth.

Thalassemias are genetic disorders inherited from a person's parents. There are two main types, alpha thalassemia and beta thalassemia. The severity of alpha and beta thalassemia depends on how many of the four genes for alpha globin or two genes for beta globin are missing. Diagnosis is typically by blood tests including a complete blood count, special hemoglobin tests, and genetic tests. Diagnosis may occur before birth through prenatal testing.

Treatment depends on the type and severity. Treatment for those with more severe disease often includes regular blood transfusions, iron chelation, and folic acid. Iron chelation may be done with deferoxamine or deferasirox. Occasionally a bone marrow transplant may be an option. Complications may include iron overload from the transfusions with resulting heart or liver disease, infections, and osteoporosis. If the spleen becomes overly enlarged surgical removal may be required.


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