Other haemoglobinopathies caused
by structural change
- Individuals from certain ethnic backgrounds have an increased risk of carrying a globin chain gene mutation causing a structural variant.
- Only a small number of variants capable of causing a severe condition in the homozygote or in compound heterozygotes are encountered in Australia. These include HbS (sickle cell disease), HbC, HbD, HbE, HbO and Hb Lepore.
- Testing for haemoglobin variants requires haemoglobin electrophoresis as it is common for no other haematological abnormality to be present.
- Partners should have FBE and haemoglobinopathy testing to investigate carrier status for β-thalassaemia and/or haemoglobin variants.
Table 2
Examples of states causing clinically significant haemoglobinopathies



