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Keywords:

  • Gγ Aγ δβ thalassemia;
  • βº thalassemia;
  • heterocellular HPFH;
  • albinism

Abstract

We describe the clinical and hematological findings in a 5-year-old boy with Gγ Aγ δβ thalassemia, a Gγ Aγ heterocellular form of HPFH, βº thalassemia, and albinism. Clinically he manifested only the characteristics of β-thalassemia trait and not the typical picture of doubly heterozygous β thal/δβ thal. The simultaneous presence of heterocellular HPFH improves γ chain synthesis, thus reducing the α chain excess. It is also possible that gene expression can be modified by the presence of other genetic anomalies.