We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Thalassemia Minor and Pelger-Huët Anomaly

Paul G. Hattersley, MD; Norman R. Eade, MD
JAMA. 1964;189(7):588. doi:10.1001/jama.1964.03070070060028.
Text Size: A A A
Published online


To the Editor:—  Thalassemia minor is a common familial anomaly in many parts of the world; Pelger-Huët anomaly is less common. Both are inherited as autosomal intermediates, the homozygote being affected seriously,1 while the heterozygote may be entirely healthy. Following is a brief report of a patient having both anomalies, and a family history suggesting genetic segregation.A 30-year-old white male stated that he had been "tired most of the time" for at least ten years. Past history revealed no serious illnesses, and findings of the physical examination were normal. There was low-grade anemia (hemoglobin 12.2 gm%) which was microcytic (mean corpuscular volume 65 cu μ) with low-grade hypochromia (mean corpuscular hemoglobin concentration 29.5%). Target cells and basophilic stippling were observed on the blood smears. Erythrocyte fragility in hypotonic sodium chloride solution was moderately decreased (75% hemolysis in 0.35% sodium chloride; normal: over 90%). Serum iron was normal 105μg%).


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.