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Beta thalassaemia is
a genetic blood disorder caused by mutations in the HBB gene,
which reduces or prevents the production of beta-globin chains, an
essential part of haemoglobin. Without enough functional haemoglobin, red blood
cells become fragile and are destroyed prematurely, resulting in chronic
anaemia. The condition is inherited in an autosomal recessive pattern and is
commonly classified as beta thalassaemia minor, intermedia, or major,
depending on disease severity.
People with beta
thalassaemia minor usually experience mild or no symptoms and may only have
slight anaemia. Beta thalassaemia intermedia causes moderate anaemia and may
require occasional blood transfusions. Beta thalassaemia major, also known as
Cooley's anaemia, is the most severe form and typically presents during infancy
with severe anaemia, poor growth, bone deformities, enlarged spleen, and
delayed development. Regular blood transfusions are often necessary to maintain
healthy haemoglobin levels.
Diagnosis includes complete
blood count (CBC), haemoglobin electrophoresis, and genetic testing to
confirm the mutation. Long-term treatment may involve lifelong blood
transfusions, iron chelation therapy to prevent iron overload, folic acid
supplementation, and careful monitoring for complications affecting the heart,
liver, and endocrine system. In selected patients, stem cell transplantation or
emerging gene-based therapies may offer the possibility of long-term disease
control or cure. Early diagnosis and comprehensive care greatly improve
survival and quality of life.