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. 2015 Jan 14;23(10):1341–1348. doi: 10.1038/ejhg.2014.291

Table 1. Clinical and laboratory data for the two families.

    Family of patient JKa
Family of patient GH
    II 3 II 4 II 5 III 1 III 2 I 1c I 2 II 1 II 2
Identity   Father Mother Uncle Proband Cousin Father Mother Proband Brother
Age in years 29 30 29 5 4   54 53 12 17
Number of transfusions <1   4
Reference values                    
Hematologic parameters
 Hb, g/l 120–150 141 170 191 79 145 144 159 97d 147
 MCV, fl 80–98 82.1 85.2 88.2 72.4 81.6 87.7 88.7 72.4 80.5
 MCH, pg 27–32 28.3 30.4 32.5 24.9 29.7 32.9 31.5 25.1 28.3
 MCHC, g/l 320–360 332 318 325 293 364 314 335 303 323
 Ret, × 109 25–75 30 50 89 170 39 37.1 64.6 147 56.2
                     
Splenomegaly
 Splenomegaly 4~6 (age, years): 6.9~8.8 cm12~15 (age, years): 8.7~11.4 cm       10.7       16.7  
                     
Hb analysis
 Hb F, % <1.5 1.8 1.8 1.8 26.6 2.0 1.9 1.8 33.2 1.8
 Hb A2, % 2.5–3.5 3.3 3.3 3.3 4.8 3.4 2.9 3.5 3.9 3.2
 Hb Bart's, % 0 0 0 0 2 0 0 0 1 0
                     
Biochemical data
 Bilirubin total, μmol/l 3.4–17.1 9.2 5 8.9 60.8 4.3 16.2 17.8 34.3 11.7
 Serum ferritin, ng/ml 10–200 332 15.7 291 396 21.7 241.4 49.8 >2000 111.3
                     
Erythrocytes
 Zinc protoporphyrin, μmol/l <1.20 1.17 0.92 0.58 5.51 0.69 1.42 1.48 11.66 1.21
 InLu phenotype + + + + + + + + +
 CD44 deficiency ± ± ± + ± ± ± + ±
                     
Abnormality of erythroblast
 poikilocyte         +     +  
 heterochromatin clumps       35%     55%  
 Globin expression                    
α/β 0.96±0.05 (95%CI:0.94–0.98)b 0.9 0.96 0.92 1.28 0.98 0.96 1.1 1.17 1.02
α/β+γ 0.96±0.05 (95%CI:0.94–0.98)b 0.9 0.96 0.92 0.62 0.98 0.96 1.1 0.68 1.02

+ and − indicate positive and negative phenotypes described in rows, ± indicates the expression is lower than normal individuals.

a

Four family members in family A without KLF1 mutation had normal hematologic parameters with Hb F between 1.3% and 1.7%.

b

Thirty healthy individuals were analyzed and used as normal control.

c

Ultrastructural analysis shows normal erythropoiesis and served as a control.

d

In order to maintain Hb level of 90 g/l to sustain the growth and development, regular transfusion was given after diagnosis at the age of 6 months.