World Thalassemia Day: Know More About This Blood Disorder Whose Only Cure Is A Bone Marrow Transplant

World Thalassemia Day: Thalassemia is diagnosed based on a complete blood count (CBC) report. According to a doctor, genetic mutation testing is required sometimes to know the type of thalassemia.

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Written By: Prerna Mittra | Updated : May 11, 2024 11:43 AM IST

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World Thalassemia Day 2024: While the haemoglobin present in red blood cells is responsible for supplying oxygen to all the cells in the body, in thalassemia -- which is a type of blood disorder -- normal haemoglobin production is depleted because of a genetic mutation. When the haemoglobin is low, it can cause severe anaemia.

Types Of Thalassemia

Depending on the type of genetic mutation, thalassemia is classified into:

  • Alpha Thalassemia
  • Beta Thalassemia

Depending on the severity of anaemia, thalassemia is classified into:

  • Thalassemia minor
  • Thalassemia intermedia
  • Thalassemia major

"In thalassemia major, which is a severe type of thalassemia, there is anaemia along with hampered haemoglobin production," says Dr Aditi Shah Kaskar, consultant haemato-oncologist and bone marrow transplant physician at HCG Cancer Centre Borivali. She adds that the child may require regular blood transfusion support in order to maintain their normal haemoglobin level. "It is diagnosed early in life, usually between 6 months and 2 years of age," she states.

On the contrary, in thalassemia minor, the anaemia is 'usually mild' and the patient may be able to lead a normal life without any treatment.

Symptoms Of Thalassemia

These are the most common symptoms of thalassemia:

  • Fatigability, dizziness, shortness of breath, poor and stunted growth caused by low haemoglobin level.
  • Complications associated with repeated blood transfusions, like 'iron overload' that causes symptoms of liver cirrhosis, diabetes, hypothyroidism, etc.

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How Is This Disorder Diagnosed?

Thalassemia is diagnosed based on a complete blood count (CBC) report. A simple blood test called Hb electrophoresis is done. According to the doctor, genetic mutation testing is also required sometimes to know the type of thalassemia.

But Why Does It Occur And Can It Be Prevented?

Dr Aditi states that thalassemia is a genetic disorder and is inherited. "If both the parents are thalassemia minor, there is a 25 per cent chance of having a thalassemia major baby in each pregnancy." In order to prevent it , there needs to be health awareness. Prenatal diagnosis is also important. "If both the parents are thalassemia minor, or if a couple already has a child with thalassemia major, then prenatal testing is done in the developing fetus to make diagnosis of thalassemia major during pregnancy," the doctor explains.

Treatment Options For Thalassemia Major

  • Regular blood transfusion
  • Iron lowering medications
  • Regular monitoring for any complication

Bone marrow transplantation, the doctor says, is the only treatment modality that can cure this disorder. "It has a very good success rate when done below five years of age. The best donor is a fully-matched sibling. Matched unrelated donor transplant, however, can also be done."

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