Brabec V, Indrák K, Fortová H, Suttnar J, Blazek B, Cermák J, Divoký V, Vepreková L, Zeman J
Institute of Hematology and Blood Transfusion, Prague, Czech Republic.
Ann Hematol. 1994 Aug;69(2):93-5. doi: 10.1007/BF01698489.
We report a fourth case of Hb Nottingham [alpha 2 beta 2 98 (FG5) Val-->Gly] observed in an 8-year-old girl in the Czech Republic with clinical and laboratory symptoms of severe hemolytic anemia. The unstable hemoglobin probably represents a de novo mutation, since the parents of the patient and the two siblings do not exhibit any hematological abnormalities. Splenectomy had a beneficial effect on the degree of hemolysis, as well as on the Hb level.