Types of Alpha Thalassemia

TypeGenotypeDescription
α-thalassemia minorαα/—Slightly anemic, low MCV and MCH; clinically asymptomatic
HbH diseaseα,-/-,-HbH. Anemic, very low MCV and MCH; splenomegaly, variable bone changes
α-thalassemia major-,-/-,-Hb Bart’s. Severe non-immune intrauterine hemolytic anemia. Hb Bart’s hydrops fetalis, usually fatal.

Alpha-Thalassemia Genetics and Clinical Consequences