Hemoglobin Lepore-beta-thalassemia syndrome

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Overview

Hemoglobin Lepore-beta-thalassemia syndrome is a rare blood disorder that affects how your body makes hemoglobin, the protein in red blood cells that carries oxygen throughout your body. This condition occurs when a person inherits two abnormal hemoglobin genes: one Hemoglobin Lepore gene and one beta-thalassemia gene. Hemoglobin Lepore is an unusual hemoglobin variant created by a fusion between the delta-globin and beta-globin genes, resulting in a hybrid hemoglobin that is produced in lower-than-normal amounts. When this is combined with a beta-thalassemia gene (which also reduces or eliminates normal beta-globin production), the result is a significant shortage of functional hemoglobin. Patients with this syndrome typically experience moderate to severe anemia, meaning their blood cannot carry enough oxygen to meet the body's needs. Symptoms often include fatigue, pale skin, weakness, poor growth in children, and enlargement of the spleen and liver. In more severe cases, the condition can resemble beta-thalassemia intermedia or even thalassemia major, requiring regular blood transfusions. The severity depends on the specific type of beta-thalassemia mutation inherited alongside the Hemoglobin Lepore gene. Treatment ranges from monitoring and folic acid supplementation in milder cases to regular blood transfusions and iron chelation therapy in more severe forms. Bone marrow transplantation may be considered in severe cases and can be curative. Gene therapy is an emerging area of research for related thalassemia conditions.

Also known as:

Key symptoms:

Chronic fatigue and tirednessPale or yellowish skinWeakness and low energyEnlarged spleen (splenomegaly)Enlarged liver (hepatomegaly)Poor growth or short stature in childrenDelayed pubertyBone changes in the face and skullDark-colored urineJaundice (yellowing of the eyes and skin)Shortness of breath with activityFrequent infectionsIron overload from transfusions

Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Childhood

Begins in childhood, roughly ages 1 to 12

Orphanet ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Hemoglobin Lepore-beta-thalassemia syndrome.

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No actively recruiting trials found for Hemoglobin Lepore-beta-thalassemia syndrome at this time.

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No specialists are currently listed for Hemoglobin Lepore-beta-thalassemia syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Hemoglobin Lepore-beta-thalassemia syndrome.

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Community

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Latest news about Hemoglobin Lepore-beta-thalassemia syndrome

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Caregiver Resources

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Social Security Disability

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Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is my (or my child's) form of this condition, and what does that mean for treatment?,Will regular blood transfusions be needed, and how often?,What iron chelation therapy do you recommend, and what are the side effects?,Is bone marrow transplantation or gene therapy an option in our case?,What complications should I watch for, and how often should we have check-ups?,Should other family members be tested to see if they are carriers?,Are there any clinical trials or new treatments available for this condition?

Common questions about Hemoglobin Lepore-beta-thalassemia syndrome

What is Hemoglobin Lepore-beta-thalassemia syndrome?

Hemoglobin Lepore-beta-thalassemia syndrome is a rare blood disorder that affects how your body makes hemoglobin, the protein in red blood cells that carries oxygen throughout your body. This condition occurs when a person inherits two abnormal hemoglobin genes: one Hemoglobin Lepore gene and one beta-thalassemia gene. Hemoglobin Lepore is an unusual hemoglobin variant created by a fusion between the delta-globin and beta-globin genes, resulting in a hybrid hemoglobin that is produced in lower-than-normal amounts. When this is combined with a beta-thalassemia gene (which also reduces or elimin

How is Hemoglobin Lepore-beta-thalassemia syndrome inherited?

Hemoglobin Lepore-beta-thalassemia syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Hemoglobin Lepore-beta-thalassemia syndrome typically begin?

Typical onset of Hemoglobin Lepore-beta-thalassemia syndrome is childhood. Age of onset can vary across affected individuals.