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Hemoglobin E-beta-thalassemia syndrome
Disease definition
Hemoglobin E - beta-thalassemia (HbE - BT) is a form of beta-thalassemia (see this term) that results in a mild to severe clinical presentation ranging from a condition indistinguishable from beta-thalassemia major to a mild form of beta-thalassemia intermedia (see these terms).
ORPHA:231249
Classification level: Disorder- Synonym(s):
- E-beta-thalassemia
- HbE-beta-thalassemia syndrome
- Prevalence: Unknown
- Inheritance: Autosomal recessive
- Age of onset: Infancy, Childhood, Adolescent, Adult
- ICD-10: D58.2
- OMIM: -
- UMLS: C0472777
- MeSH: -
- GARD: -
- MedDRA: -
Summary
Epidemiology
Prevalence of this form is not known but HbE - beta-thalassemia is predominant in Southeast Asia.
Clinical description
Mild HbE - BT (about 15% of cases) is characterized by normal Hb levels (9-12 g/dl) and patients usually do not develop clinically significant symptoms. No treatment is required. Moderately severe forms (most cases) are characterized by decreased Hb levels (6-8 g/dl) and the clinical manifestations are similar to those of beta-thalassemia intermedia. Transfusions are not required unless infections precipitate further anemia. Iron overload may occur. Severe forms are characterized by very low Hb levels (4-5 g/dl) and patients present with manifestations similar to beta-thalassemia major and are treated as thalassemia major patients.
Genetic counseling
HbE - BT patients are compound heterozygotes for hemoglobin E and beta-thalassemia.
A summary on this disease is available in Deutsch (2011) Español (2011) Français (2011) Italiano (2011) Nederlands (2011) Português (2011)
Detailed information
Guidelines
- Clinical practice guidelines
- English (2010) - Br J Haematol
- English (2015) - Eur J Hum Genet
- English (2016) - UK Thalassaemia Society
Disability
- Disability factsheet
- Français (2020, pdf) - Orphanet
Genetic Testing
- Guidance for genetic testing
- Français (2019, pdf) - ANPGM


Additional information