A patient with a normal blood hemoglobin level, but with evidence of brisk hemolysis, was found to have an unstable hemoglobin with a left-shifted oxygen dissociation curve. Two sisters of the patient had a history of hemolytic anemia. Both died of thromboembolic complications following splenectomy. Our patient was found to be heterozygous for a new β-chain mutation and β-thalassemia. All of the hemoglobin in his red cells was of the abnormal type, designated hemoglobin Duarte, and was shown to contain proline at the β62 (E6) position instead of alanine.

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© 1974 by American Society of Hematology, Inc.
1974
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