Volume 81, Issue 5 pp. 358-360
Case Report
Free Access

Hb Florida: A novel elongated C-terminal β-globin variant causing dominant β-thalassemia phenotype

B.I. Weinstein

B.I. Weinstein

Hematology Department, French Hospital, Buenos Aires, Argentina

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B. Erramouspe

B. Erramouspe

Hematology Department, French Hospital, Buenos Aires, Argentina

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D.M. Albuquerque

D.M. Albuquerque

Hematology and Hemotherapy Center, School of Medical Sciences, State University of Campinas-UNICAMP, Campinas, State of São Paulo, Brazil

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D.M. Oliveira

D.M. Oliveira

Department of Clinical Pathology, School of Medical Sciences, State University of Campinas-UNICAMP, Campinas, State of São Paulo, Brazil

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E.M. Kimura

E.M. Kimura

Department of Clinical Pathology, School of Medical Sciences, State University of Campinas-UNICAMP, Campinas, State of São Paulo, Brazil

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F.F. Costa

F.F. Costa

Hematology and Hemotherapy Center, School of Medical Sciences, State University of Campinas-UNICAMP, Campinas, State of São Paulo, Brazil

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M.F. Sonati

Corresponding Author

M.F. Sonati

Department of Clinical Pathology, School of Medical Sciences, State University of Campinas-UNICAMP, Campinas, State of São Paulo, Brazil

Department of Clinical Pathology, School of Medical Sciences, State University of Campinas-UNICAMP, P. O. Box 6111, Campinas, São Paulo 13083-970, BrazilSearch for more papers by this author
First published: 20 April 2006
Citations: 15

Abstract

We report here a new frameshift mutation in exon 3 of the β-globin gene, a single nucleotide deletion (-C) in between codons 140/141 (GCC/CTG→GCC/TG), found in an 8-year-old Argentinean girl with clinical picture of thalassemia intermedia. It leads to a β-chain that is elongated to 156 amino acids [(141)Trp-Pro-Thr-Ser-Ile-Thr-Lys-Leu-Ala-Phe-Leu-Leu-Ser-Asn-Phe-(156)Tyr-COOH]. The resulting hemoglobin, which we named Hb Florida, was not detected in peripheral blood; however, erythroid hyperplasia and dyserythropoiesis with large inclusion bodies on methyl violet staining were observed in bone marrow, suggesting that this is a hyperunstable variant producing a dominant β-thalassemia phenotype, since the other β-allele was completely normal. Am. J. Hematol. 81:358–360, 2006. © 2006 Wiley-Liss, Inc.

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