title: [Hemoglobin O Arab in interaction with beta 0-thalassemia].
abstract: Clinical, hematologic and hemoglobin composition data on the first case of Hb 0-Arab in association with beta 0-thalassemia in Yugoslavia are reported here. The propositus was a 26-years-old female from Strumica who was admitted to the hospital for several times because of anemia, hepatosplenomegaly, occasional abdominal pains, malaise and fatigue. Laboratory results presented: Hb 10.0 g/dl, RBC 3.84.10(12)/L, PCV 0.260 l/l, MCV 68 fl, MCH 26 pg, reticulocyte count 1.8%, anisopoikilocytosis, polychromasis, numerous target cells, total bilirubin 2.1 mg/dl, (indirect 1.7 mg/dl), serum-Fe 32.3 microM/L. A starch gel electrophoresis of hemolysate provided evidence for the presence of abnormal hemoglobin (approximately 85%) and Hb F (approximately 15%); the Hb A was absent. Familial screening showed her father was heterozygous for the abnormal hemoglobin, whereas the mother was heterozygous for beta-thalassemia. In vitro biosynthesis disclosed a total absence of beta globin and reduced synthesis of beta x x and gamma globin. The alpha/beta x + gamma-globin ratio was 1.77 (normal, 1.0 + 0.1). Amino acid analysis revealed that lysine substituted for glutamic acid at the position one hundred twenty-one of the beta chain (= Hb 0-Arab or beta 121 Glu----Lys).
authors.forename: N
authors.initials: N
authors.lastname: Nikolov
authors.forename: M
authors.initials: M
authors.lastname: Andreeva
authors.forename: L
authors.initials: L
authors.lastname: Janković
authors.forename: G D
authors.initials: GD
authors.lastname: Efremov
mesh_terms: D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D005260:Female; D006455:Hemoglobins, Abnormal / Q000032:analysis* / Q000235:genetics; D006801:Humans; D008875:Middle Aged; D010375:Pedigree; D013789:Thalassemia / Q000097:blood* / Q000235:genetics
chemical_list: D006455:Hemoglobins, Abnormal; C032031:hemoglobin Arab
vernacular_title: Hemoglobin O-Arabija u interakciji sa beta 0-talasemijom.