THALASSEMIA Flashcards

1
Q

are diverse group of inherited disorders

A

Thalassemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • Genetic mutations affecting the globin chain component of the Hb tetramer
A

Thalassemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

often referred to as Cooley’s anemia

A

Beta thalassemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

published a paper

A

Whipple and Bradford

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Outline the detailed autopsy studies of children who died of this disorder

A

Whipple and Bradford

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Results from a reduced or absent synthesis of one or more of the globin chains of hemoglobin

A

THALASSEMIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • Mutations affecting alpha or Beta-globin gene are ________
A
  • THALASSEMIA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • DECREASE OR ABSENT SYNTHESIS
A

THALASSEMIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Due to mutations in the promoter region or initiation codon of a globin gene, or to mutations in polyadenylation sites that reduce mRNA stability

A
  1. Reduced or Absent Transcription of (mRNA)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • Mutations that add or remove splice sited, resulting in no globin chian or altered globin chain production
A
  1. mRNA Processing errors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • Mutations that change the codon reading frame (frameshift mutations), substitute an incorrect amino acid(missense mutation), add a stop codon(nonsense mutations), remove a stop codon
A
  1. Translation errors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • No production of the corresponding globin chains
A
  1. Deletion of one or more globin genes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The clinical manifestations of
thalassemia stem from

A
  1. Reduced or Absent production
    of a particular globin chain
  2. Unequal production of the
    alpha and Beta globin chains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  • Unpaired, excess alpha chains precipitate in developing erythroid precursors forming inclusion bodies
A
  • BETA THALASSEMIA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Asymptomatic during fetal life and through approximately _____________ of age

A

Beta Thalassemia - 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • In children excess iron causes: beta thalassemia
A

Growth retardation
* Absence of sexual maturity

GA

17
Q
  • In adults excess iron causes:
A
  • Cardiomyopathy
  • Fibrosis
  • Cirrhosis of the liver
  • Dysfunction of exocrine glands

CFCD

18
Q
  • Decreased production of alpha chain can manifest in utero
A

ALPHA THALASSEMIA

19
Q

Decrease production of alpha chains results on an excess of gamma chains

A

Fetus and newborn

20
Q

excess B chain, stable and form tetramers

A

HB H

21
Q

do not precipitate in developing erythroid
* No ineffective erythropoiesis
* MATURE RBC = Hb H eventually precipitate and form inclusion bodies
* Manifest a moderate hemolytic anemia

A

Hb H and Hb bart

22
Q

4 CATEGORIES BASED ON CLINICAL
MANIFESTATION

A
  1. Beta-Thalassemia silent carrier (heterozygous
    state)
  2. Beta-Thalassemia minor (heterozygous state)
  3. Beta-Thalassemia major (homozygous or
    compound heterozygous state)
  4. Beta-Thalassemia intermedia
23
Q

2 BROAD GROUPS BASED ON TRANSFUSION
REQUIREMENT

A
  1. Transfusion-dependent thalassemia(TDT)
  2. Non- Transfusion-dependent
    thalassemia(NTDT)
24
Q

Other Thalassemias
Caused by Defects in BetaGlobin Gene Cluster

A

1.Thalassemias with Increased Levels of Fetal
Hemoglobin
2. Hemoglobin Lepore Thalassemia

25
Q
A