Thalassemia incidentally found by marked erythrocytosis due to an ochre mutation at codon 35 in a Japanese man

Intern Med. 1995 Dec;34(12):1198-200. doi: 10.2169/internalmedicine.34.1198.

Abstract

We present a patient with beta-thalassemia minor diagnosed on the basis of the incidental findings of marked hypochromic and microcytic erythrocytosis. Hemoglobin analysis revealed increased hemoglobin (Hb) A2 levels and decreased beta/alpha synthesis ratio in both the propositus and his mother. Further molecular studies identified a single base substitution of TCA to TAA within codon 35 in heterozygous state, which creates a premature terminator resulting in a defect of effective beta globin synthesis. This is the first report of beta-thalassemia due to a nonsense mutation at codon 35 of beta-thalassemia gene in the Japanese population.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Codon / genetics*
  • Globins / biosynthesis
  • Globins / genetics
  • Humans
  • Japan
  • Male
  • Point Mutation*
  • Polycythemia / diagnosis*
  • Polycythemia / genetics
  • beta-Thalassemia / diagnosis*
  • beta-Thalassemia / genetics
  • beta-Thalassemia / metabolism

Substances

  • Codon
  • Globins