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Hemoglobin Fontainebleau [a21(B2)Ala>Pro]: The second report from India
Ranjeet Singh Mashon1, Sona Nair, Pratibha Sawant
1Department of Hematopathology, Christian Medical College, Ludhiana, Punjab, India.
Indian Journal of Human Genetics
|December 17, 2013
Summary
A rare alpha globin gene variant, Hb Fontainebleau, was identified in a pregnant woman during hemoglobinopathy screening. This finding contributes to understanding alpha globin variants in India.
Area of Science:
- Hematology
- Genetics
- Molecular Biology
Background:
- Hemoglobin (Hb) variants arise from point mutations in globin genes, causing amino acid substitutions.
- Over 200 alpha chain variants have been documented, often identified through hemoglobinopathy screening.
- Community control programs facilitate screening of antenatal cases and prenatal diagnosis.
Observation:
- A rare alpha globin gene variant, Hb Fontainebleau [a21(B2)Ala>Pro], was detected in a 35-year-old pregnant woman.
- This variant was found in heterozygous condition during a community hemoglobinopathy screening program.
- This marks the second reported instance of Hb Fontainebleau in India.
Findings:
- The patient presented with a history of poor obstetric outcomes and secondary infertility.
- Previous reports in India noted Hb Fontainebleau in a neonate with Hb Sickle without clinical issues.
- The direct link between Hb Fontainebleau and the observed obstetric complications remains undetermined.
Implications:
- This case highlights the importance of comprehensive screening for hemoglobin variants in antenatal populations.
- Further research is needed to elucidate the clinical significance and potential associations of Hb Fontainebleau.
- Continued surveillance and genetic counseling are crucial for managing hemoglobinopathies in diverse populations.
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