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Mutant fetal hemoglobin causing cyanosis in a newborn
Authors:J R Priest  J Watterson  R T Jones  A E Faassen  B E Hedlund
Affiliation:Department of Pediatric Hematology/Oncology, Children's Hospital of St Paul, MN 55102.
Abstract:A well but cyanotic newborn was found to have a mutant gamma-globin chain, leading to a functionally abnormal fetal hemoglobin. A single amino acid substitution was found in a site consistent with known adult M hemoglobins. This patient showed no clinical evidence of cyanosis at 5 weeks of age as gamma-chain synthesis was replaced by beta-chain synthesis. A sibling born 20 months later was also cyanotic and the same mutant hemoglobin was found.
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