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July 1955

Studies in Sickle-Cell Anemia: V. Sickle-Cell Hemoglobin C Disease (Report of Two Cases in Siblings with Clinical and Genetic Observations and a Brief Review of the Literature)

Author Affiliations

Washington, D. C.
From the Department of Pediatrics of Howard University College of Medicine and the Pediatric Service of Freedmen's Hospital.

AMA Am J Dis Child. 1955;90(1):35-42. doi:10.1001/archpedi.1955.04030010037006

INTRODUCTION  Within the past few years, the application of newer knowledge, chiefly involving genetic, biochemical, and electrophoretic techniques, has resulted in the recognition of previously unknown intrinsic properties of human hemoglobin. The application of these newer tools to the study of sickle-cell anemia has revealed that the condition is not a simple disease entity but is in reality a hemolytic syndrome which may be separated into specific subtypes depending upon the variety of abnormal hemoglobin present.To date, the hemoglobins which have been identified by chemical and/or electrophoretic studies are as follows *:A—Normal adult hemoglobinF—Fetal hemoglobinS—Sickle-cell hemoglobinC—C hemoglobinD—D hemoglobinE—E hemoglobinG—G hemoglobin†The pathologic effects of various known combinations of abnormal hemoglobins are listed in Table 1. The current designation of sickle-cell anemia is reserved for the type in which the genes responsible for sickling are homozygous. Statistically, this is the commonest variety. The second