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Received: June 06, 2019; Accepted: June 17, 2019; Published: June 19, 2019 Thalassemias are one of the most common single gene disorders present worldwide. Mutations in the globin genes are present in 7% of the worldwide population. These mutations can either affect the amount of the globin chain production and cause thalassemia or they can cause a change in the hemoglobin structure thus affecting the functions generating hemoglobin variants [1]. Hb S, Hb E,Hb D,Hb C are some of the common structural variants of hemoglobin and these result from single amino acid substitutions caused by point mutations.

Dilemmas involved in diagnosis due to co-inheritance of 619bp deletion and HbD presenting as Hb D homozygous on hemoglobin electrophoresis screening