Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0039730 (thalassemia)
 10,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Onset of diabetes mellitus (DM) during childhood and adolescence is still relatively uncommon in Indonesia compared to many other countries in Europe and the American continent. Two surveys done in two big cities in Indonesia (Semarang, 1974 and Surabaya, 1977) showed a prevalence of 0.2-0.26% in the age group of 6-20 years. In our clinic we have seen 28 patients with DM from 1973-1988. All were insulin dependent. The youngest was 1 year, the oldest 15 years of age. The peak age group was 6-10 years. Male/female ratio was 1:3. Fifteen children experienced ketoacidosis of whom 6 had it more than once. Two children had major thalassemia, both died. Six other patients died due to severe infections and inadequate treatment. One girl of 5 years had Grave's disease. Most of the patients belonged to the low socio-economic group for whom adequate treatment was not always possible.
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PMID:Childhood onset of diabetes mellitus. Report on hospital cases. 207 23

Haemoglobin Constant Spring (Hb CS) mutation and single gene deletions are common underlying genetic abnormalities for alpha thalassaemias. Co-inheritance of deletional and non-deletional alpha (alpha) thalassaemias may result in various thalassaemia syndromes. Concomitant co-inheritance with beta (beta) and delta (delta) gene abnormalities would result in improved clinical phenotype. We report here a 33-year-old male patient who was admitted with dengue haemorrhagic fever, with a background history of Grave's disease, incidentally noted to have mild hypochromic microcytic red cell indices. Physical examination revealed no thalassaemic features or hepatosplenomegaly. His full blood picture showed hypochromic microcytic red cells with normal haemoglobin (Hb) level. Quantitation of Hb using high performance liquid chromatography (HPLC) and capillary electrophoresis (CE) revealed raised Hb F, normal Hb A2 and Hb A levels. There was also small peak of Hb CS noted in CE. H inclusions was negative. Kleihauer test was positive with heterocellular distribution of Hb F among the red cells. DNA analysis for alpha globin gene mutations showed a single -alpha(-3.7) deletion and Hb CS mutation. These findings were suggestive of compound heterozygosity of Hb CS and a single -alpha(-3.7) deletion with a concomitant heterozygous deltabeta thalassaemia. Co-inheritance of Hb CS and a single -alpha(-3.7) deletion is expected to result at the very least in a clinical phenotype similar to that of two alpha genes deletion. However we demonstrate here a phenotypic modification of alpha thalassemia presumptively as a result of co-inheritance with deltabeta chain abnormality as suggested by the high Hb F level.
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PMID:Co-inheritance of compound heterozygous Hb Constant Spring and a single -alpha(3.7) gene deletion with heterozygous deltabeta thalassaemia: a diagnostic challenge. 2287 Jun