We report a 6-year-old child with Hb H disease due to homozygosity for Hb Sallanches [alpha104(G11)Cys-->Tyr], an unstable alpha2 chain variant. This child presented with a hemolytic anemia of intermediate severity and had never been transfused. This variant often remains undetected in the heterozygous state.
José Luis Pérez de ArteagaArturo ReverterJosé Luis VidalAlberto Vilardell
Sanjeev GuptaB. R. HammondRichard LeeteEric Swanson