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Coinheritance of a high oxygen affinity structural hemoglobin (Hb) variant along with a thrombophilia marker is a rare occurrence. This may lead to a multi fold increase in the risk of thrombosis in patients. We report here a first case of Hb Coombe Park ( HBA2 : c.382A&gt;G; p.Lys128Glu) from India, coinherited with a novel mutation (c.839C&gt;G; p.Ser280Ter) on the  SERPINC1  gene. This coinheritance has not been reported before. Though the patient is presently asymptomatic, identification of these variants will help in genetic counseling and to decide the future course of action in case of any clinical complications.

hemoglobin

First Report of an α Chain Variant [Hb Coombe Park ( HBA2 : c.382A&gt;G)] from India, Coinherited with a Novel  SERPINC1  Gene Mutation: A Double Whammy?