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Delineation of the molecular basis of borderline hemoglobin A2 in Chinese individuals.
[alpha-thalassemia]
The
"
gray
zone
"
of
borderline
hemoglobin
A
2
(
Hb
A
2
)
may
be
present
in
a
large
section
of
the
population
,
especially
in
countries
where
thalassemia
is
common
.
However
,
very
little
is
currently
known
of
the
molecular
basis
of
borderline
Hb
A
2
in
Chinese
individuals
.
In
this
study
,
we
performed
a
comprehensive
analysis
of
the
globin
genotypes
and
KLF
1
gene
mutations
associated
with
borderline
Hb
A
2
in
165
Chinese
subjects
.
Fifteen
(
9
.
1
%
)
were
positive
for
a
molecular
defect
in
the
α-
,
β-globin
genes
,
of
whom
,
α-thalassemia
mutations
and
α-globin
gene
triplication
were
found
in
eleven
cases
,
accounting
for
about
73
.
3
%
of
these
globin
gene
defects
.
Twenty
(
12
.
1
%
)
were
positive
for
a
molecular
defect
in
the
KLF
1
gene
.
Eight
different
mutations
were
identified
,
six
of
which
are
here
reported
for
the
first
time
.
The
most
common
is
the
G
176
AfsX
179
mutation
,
accounting
for
50
%
of
the
total
.
The
molecular
characterization
of
borderline
Hb
A
2
in
Chinese
individuals
is
significantly
different
than
in
Italian
population
.
Our
data
is
conductive
to
provision
of
genetic
counseling
for
Chinese
individuals
with
borderline
Hb
A
2
.
Diseases
Validation
Diseases presenting
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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