TY - CHAP M1 - Book, Section TI - The Sickle Cell Diseases and Related Disorders A1 - Lichtman, Marshall A. A1 - Kaushansky, Kenneth A1 - Kipps, Thomas J. A1 - Prchal, Josef T. A1 - Levi, Marcel M. Y1 - 2011 N1 - T2 - Williams Manual of Hematology, 8e AB - The molecular biology of these hemoglobinopathies is well understood, but clinical progress in treatment has been limited.Hemoglobin variants were initially designated by letter, but after the letters of the alphabet were exhausted, newly identified variants were named according to the place in which they were first found. If they had a particular feature previously described by a letter, the location was added as a subscript (e.g., Hb MSaskatoon).In a fully characterized hemoglobin variant, the amino acid position and change is described in a superscript to the appropriate globin chain (e.g., Hb S, α2 β26Glu-Val).The term sickle cell disorder describes states in which sickling of red cells occurs on deoxygenation.Sickle cell anemia (Hb SS), hemoglobin SC, sickle cell–β thalassemia, and hemoglobin SD produce significant morbidity and are therefore designated sickle cell diseases. These diseases are marked by periods of relative well-being interspersed with episodes of illness, but the severity of clinical manifestations varies widely among patients. Generally, sickle cell anemia is the most severe, but there is considerable overlap in clinical behavior among these diseases.Hb E might be the most prevalent abnormal hemoglobin and is found principally in Burma, Thailand, Laos, Cambodia, Malaysia, and Indonesia. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - hemonc.mhmedical.com/content.aspx?aid=1126651520 ER -