What happens in this disease?
Thalassemia is a group of inherited blood diseases. In these diseases, the body cannot make enough hemoglobin (the substance that carries oxygen in the blood). This causes anemia. The two main kinds are alpha and beta thalassemia. There are different forms, ranging from carrier status to severe types.
Which symptoms can occur?
In severe types, symptoms often begin a few months after birth. In mild types, they appear later or may not appear at all.
- Tiredness, weakness and paleness (common)
- Shortness of breath and a pounding heartbeat (common if the anemia is severe)
- Yellowing of the eyes and skin (sometimes)
- Enlarged liver and spleen (sometimes)
- Delayed growth and late puberty (in severe types)
- Changes in bone shape or weak bones (sometimes)
- Iron build-up from frequent blood transfusions; damage to the heart, liver and hormone glands (in severe types)
How is it diagnosed?
Thalassemia and carrier status are detected with blood tests. These tests can be done at any age. In some health systems, screening is done during pregnancy and in newborns.
Treatment and care
In severe types, regular blood transfusions are given. Frequent blood transfusions cause too much iron to build up in the body. Medicine that removes this iron from the body is also needed. For some people, a stem cell transplant may be considered, but it has risks. The doctor who follows the disease decides which treatment is suitable.
For the family: inheritance and genetic counselling
Thalassemia is inherited. If the mother and father are carriers, the chance that the child is affected is 1 in 4 in each pregnancy. Carriers often have no health problems. In alpha thalassemia, the risk depends on which genes are affected. Genetic counselling guides the family.