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Mendel Law: Autosomal Recessive
Mendel Law: Autosomal Recessive
Thalassemia
Major
Normal Carrier
Parents
Carrier
Parents
Carrier
Parents
Carrier
Parents
Carrier
Carrier Normal
Mendel Law
Autosomal
recessive
Parents
Thal. Major
Parents
Normal
100% Carrier
Mendel Law
Normal
Death during fetal life
Hydrops fetalis
HbH disease
Mild to severe anemia
--/-- - -/-
4
=HbBart
4
=HbH
Thalassemia-
Organomegaly Facial changes
Clinical Features
Skin Hyperpigmentation
Radiologic Features
osteoporosis Hair on end appearance
Normal peripheral
blood
Iron
deficiency
Thalassemia major
Thalassemia
minor
DFO
Pump
Subcutaneous chelating agent
8-12 hours/day, 5-7x/week
Deferiprone (L1) Deferasirox (ICL 670)
75-100 mg/kgbw/day 20-30 mg/kgbw/day
Oral chelating agents
Nutrition
Reduce the iron absorbed from food
Food that decrease non meat iron absorption: cereal, tea,
coffee, spices, diary products
Food that increase non meat iron absorption: Vit. C,
seafood, meat, poultry, fish
Treatment