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[Molecular diagnosis for a novel deletion mutation of α thalassemia].
[alpha-thalassemia]
To
raise
awareness
of
the
pathogenesis
and
diagnosis
of
thalassemia
by
reporting
one
case
of
α
thalassemia
patient
with
a
large
deletion
fragment
and
analyzing
the
pedigree
.
Firstly
,
blood
cells
and
hemoglobin
electrophoresis
analysis
were
used
for
screening
of
thalassemia
,
and
then
three
common
kinds
of
deletional
α
thalassemia
in
Chinese
was
detected
by
Gap
-
PCR
,
three
common
kinds
of
non-
deletional
α
thalassemia
and
seventeen
common
mutations
of
β
thalassemia
in
Chinese
were
analyzed
by
using
PCR-
RDB
.
The
unknown
mutation
of
samples
was
identified
with
Multiplex
Ligation-dependent
Probe
Amplification
(
MLPA
)
and
DNA
sequencing
.
The
proband
female
presented
with
microcytic
hypochromic
anemia
(
hemoglobin
71
g
/
L
,
mean
corpuscular
volume
52
.
4
fl
,
mean
corpuscular
hemoglobin
16
.
1
pg
)
,
and
hemoglobin
A
2
1
.
4
%
.
The
identified
large
deletion
fragment
length
was
21
925
bp
,
so
far
which
had
not
been
reported
in
the
world
and
was
named
-
α
²¹
·
â¹
.
It
was
registered
in
USA
DNA
database
and
GenBank
accession
number
as
KF
360979
.
The
genotype
of
her
mother
and
father
and
brother
were
αα
/
-
α
²¹
·
â¹
,
-
-
(
SEA
)
/
-
α
³
·
â·
,
αα
/
-
α
³
·
â·
respectively
,
and
the
genotype
of
her
and
her
sister
were
the
same
of
-
-
(
SEA
)
/
-
α
²¹
·
â¹
.
Her
husband
gene
of
thalassemia
had
no
mutation
,
so
prenatal
diagnosis
of
thalassemia
was
not
carried
out
in
the
pregnant
woman
.
The
discovery
of
-
α
(
21
.
9
)
deletion
mutation
was
enriched
the
DNA
mutation
gene
database
of
thalassemia
,
and
had
important
significance
for
genetic
counseling
and
thalassemia
prenatal
diagnosis
.
Diseases
Validation
Diseases presenting
"prenatal diagnosis"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenomyeloneuropathy
alexander disease
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
classical phenylketonuria
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cystinuria
dentinogenesis imperfecta
epidermolysis bullosa simplex
harlequin ichthyosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kindler syndrome
krabbe disease
lamellar ichthyosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
phenylketonuria
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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