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324 PART 4 ■ Erythrocyte Disorders
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TABLE 17.3 b Thalassemia Types
Phenotype Clinical Descriptions
Thalassemia minor Mild anemia, microcytosis, abnormal erythrocyte morphology, splenomegaly
(Thalassemia trait)
Thalassemia intermedia Moderate anemia and ineffective erythropoiesis, microcytosis, abnormal erythrocyte morphol-
ogy, splenomegaly, iron overload, not transfusion dependent
Thalassemia major Severe anemia caused by ineffective erythropoiesis, transfusion dependent, organ
(Cooley’s anemia) damage (heart, liver, etc.) secondary to iron overload, extramedullary erythropoiesis,
hepatosplenomegaly

