HbS / Thalassemia

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HbS / Thalassemia

HbS/thalassemia combination Affected populations Severity Comments
HbS beta thalassemia

North Africa, India, and the Mediterranean region, especially Greece and Turkey.

Varies

HbS beta-plus thalassemia, type 1 and HbS beta-minus thalassemia need supportive therapy and may have severe anemia

HbS beta-plus thalassemia, type 2 requires very little medical attention

Hb SA alpha-plus thalassemia

Common in persons of African ancestry

Usually asymptomatic

Less hemoglobin S produced than in persons with Hb S trait
Hb SS-alpha thalassemia (either plus or zero) African and Mediterranean ancestry Mild anemia midway in severity between sickle cell disease and trait

Produce increased levels of Hb F in proportion to the number of alpha gene deletions present. This acts to retard the sickling process.