Eur J Haematol. What Blood Tests Can Help Diagnose Sjgrens Syndrome? Update in laboratory diagnosis of thalassemia. There has also been a shortage at other steps in the process, such as personnel available to perform collections, as well as process and deliver donated blood. With more research, we may one day have a clearer understanding of the connection between COVID-19 and different blood types. They also shouldnt get it if they have a known allergy to a component of the vaccine. As a whole, experts recommend that peopleregardless of blood typekeep following CDC guidelines to prevent the spread of COVID-19. Experts Explain. "Long COVID" is a term meaning symptoms that persist after the infection has cleared. Careers. (2022). Co-inheritance of -thalassaemia and -thalassaemia in a prenatal screening population in mainland China. Lasting immunity found after recovery from COVID-19 Munkongdee T, et al. Should you get a COVID vaccine if you have beta thalassemia? And people with some blood disorders like sickle cell disease are resistant to malaria, added Dr. Adalja. doi:10.2144/fsoa-2020-0110, Papadopoulos KI, Sutheesophon W, Manipalviratn S, Aw TC. See additional information. Six had their spleens removed. Please enable it to take advantage of the complete set of features! Beta-thalassemia occurs when your body has trouble producing hemoglobin beta. (2022). (2021). Thalassemia patients also tend to have complications and coexisting conditions that may put them at an increased risk of severe outcomes, such as hospitalization and death, if they do become infected with COVID-19. Treatment is with corticosteroids. People with thalassemia minor or trait usually do not need blood transfusions because they either do not have anemia or have only a mild anemia. 2021.doi:10.1016/j.htct.2021.04.003, Dalamaga M, Karampela I, Mantzoros CS. Beta-thalassemia trait is less common. On one side of the equation, glucocorticoids can slow the clearance of the virus from the respiratory tract. They agree that unless you have a very serious allergy to any of the vaccine ingredients, you should strongly consider getting the COVID-19 vaccine because some people with thalassemia have a higher chance of experiencing severe symptoms from COVID-19. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. (Note: The overall mortality rate for COVID-19 is currently less than 1%.). The third group includes people with Thalassemia minor, who have mild anaemia only. Hemoglobin normally is made of four chainstwo alpha chains and two beta chains. Theres no cure for Nijmegen breakage syndrome, but its complications can be treated. A comprehensive review of studies published in Seminars in Vascular Surgery in September 2021 examined peer-reviewed journal articles published from March 2020 to January 2021. (2020). The second study (also from October 2020) from researchers in Canada looked at data from 95 patients who were severely ill with COVID-19. They often share similar symptoms but have different causes as well as different treatments and severity. Thalassaemia International Federation . COVID-19. Many patients with haemoglobinopathies, including thalassaemia and sickle cell disease, are at increased risk of developing severe complications from the coronavirus disease 2019 (COVID-19). 5, 25, 26, 27 However, no details were provided as to the outcomes and course of the pregnancy in this . -Thalassemia is the most prevalent single gene blood disorder, while the assessment of its susceptibility to coronavirus disease 2019 (COVID-19) warrants it a pressing biomedical priority. "We still do not understand all the factors at play," said Anupama Nehra, MD, an assistant professor at the Rutgers New Jersey Medical School and clinical director of hematology-oncology at Rutgers Cancer Institute at University Hospital. According to the National Heart, Lung, and Blood Institute, thalassemia can affect your ability to become pregnant and increase your risk of complications if you do. SARS-CoV-2 infection in patients with -thalassemia: The French experience. If you become infected, it's important to talk to a doctor knowledgeable about thalassemia regarding any special precautions you should take or changes to your medical plan. While the latest research suggests that antibodies against Covid-19 could be lost in just three months, a new hope has appeared on the horizon: the enigmatic T cell. People with the most severe form of the disease may require regular blood transfusions. At the current time, there is no evidence that the SARS-CoV-2 virus can be transmitted by blood transfusion, and if present at all, the risk is likely to be very low. Treatment can consist of blood transfusions and iron chelation therapy. Healthline Media does not provide medical advice, diagnosis, or treatment. Hemoglobin is the iron-containing part of your red blood cells that allows them to carry oxygen throughout your body. . Epub 2020 Sep 15. The current evidence suggests that the benefits of COVID-19 vaccination outweigh the risk of side effects for most people with autoimmune disease, according to the Global Autoimmune Institute, which reviewed the available scientific literature. Commentary: Could iron chelators prove to be useful as an adjunct to COVID-19 Treatment Regimens? One study published in the Journal of the American Medical Association (JAMA) in April of 2021, reviewed nearly 108,000 COVID-19 cases. Its most common in Southeast Asia, the Middle East, and the Mediterranean. Learn more about beta-thalassemia trait and pregnancy. Your doctor can address any particular concerns you may have. Am J Hematol. A 2022 study found that people with beta-thalassemia trait were also at increased risk of severe illness from COVID-19. What are the symptoms of beta thalassemia? Since hemoglobin levels already run low for many people with thalassemia, the combination of factors has raised some concerns. April 21, 2020. Doctors sometimes incorrectly prescribe iron supplements for people with thalassemia trait if they mistake their symptoms for iron deficiency. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. (2022). Thalassemia - Diagnosis | NHLBI, NIH A few options include: Current recommendations are that for people who have been treated with Reblozyl, the medication should be continued even if a person develops COVID-19 (there is no evidence that it should be stopped). Home isolation in transfusion-dependent thalassemia patients with SARS CoV2 infection: Experience from a developing country. In this study, the most common side effects in people with thalassemia were: Researchers are still examining how COVID-19 affects people with beta thalassemia. If symptoms occur, theyre likely to be mild. People with beta thalassemia minor can have anemia so mild they dont know they have it. Key points about beta thalassemia in children. 2023 Feb 14;9:1082611. doi: 10.3389/fmed.2022.1082611. Here, experts weigh in on what you really need to know. Patients with beta-thalassaemia increase the risk of bacterial infections, particularly Burkholderia pseudomallei (Bp), the causative agent of melioidosis in Thailand. You can learn more about how we ensure our content is accurate and current by reading our. Eur J Haematol. Hemoglobin allows your red blood cells to carry oxygen to other cells throughout your body. Beta thalassemia major often needs to be treated with regular blood transfusions. "We all recognize that we're not the same, but we have not been able, on a genetic basis, very often, to determine whether certain people with certain genes are more or less susceptible to get an infection if they're exposed to a germ," said William Schaffner, MD, an infectious disease specialist, and professor at the Vanderbilt University School of Medicine. "All may acquire COVID-19 and all should take the recommended precautions to reduce the risk.". Immune responses in beta-thalassaemia: heme - Scientific Reports Summary document for interim clinical considerations for use of COVID-19 vaccines currently authorized or approved in the United States. Blood tests can also be used for . Bethesda, MD 20894, Web Policies When one of these two genes are missing, it can lead to beta thalassemia trait, or beta thalassemia minor. Telehealth visits, which are appointments with a healthcare provider using electronic devices from your home, are considered the equivalent of an in-person visit in many ways and can provide excellent care in many situations. Last medically reviewed on April 6, 2023. Beta thalassemia minor or thalassemia trait. They only have one mutated HBB gene from their parents. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. But its most common in the Mediterranean, where incidence can be as high as 15%. People with the intermedia or major forms of the disease have HBB mutations from both parents. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Researchers found inconsistent findings but did identify certain trends suggesting that blood type A might predispose one to increased susceptibility to infection with SARS-CoV-2 (the virus that causes COVID-19), or that type O and Rh-negative blood groups might be protective. Since thalassemia trait causes only mild symptoms, if any, it usually doesnt affect life expectancy. But you can pass the gene on to future generations. In a large Iranian study, the prevalence of COVID-19 in people with non-transfusion dependent thalassemia (those with the disease not dependent on transfusions) was much higher than in the general population (45 vs. 22.3 infections per 10,000 people). For example, some of the common complications and coexisting conditions caused by thalassemia may also worsen COVID-19. Thalassemia Benefits - News-Medical.net It could be that antigens for people with type O blood block the spike protein in SARS-CoV-2, and keeps it from entering into your cells, said Dr. Russo. Current recommendations for those in the United States is that iron chelation therapy be continued unless symptoms of COVID-19 develop. If you do, theyll be mild. This shortage has been of even greater concern in South Asia (due to a high incidence of beta-thalassemia), where it's been estimated that 200,000 people depend on regular blood transfusions to manage their condition.
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Originally published in the Dubuque Telegraph Herald - June 19, 2022 I am still trying to process the Robb Elementary...