raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:231214

Beta-thalassemia major

Synonyms: Beta transfusion dependent thalassemia · Beta-TDT · Cooley anemia · Mediterranean anemia

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Beta-thalassemia (BT) major is a severe early-onset form of BT characterized by severe anemia requiring regular red blood cell transfusions.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBeta-thalassemia majorBeta transfusion dependent thalassemia · Beta-TDT · Cooley anemia · Mediterranean anemia
frBêta-thalassémie majeureAnémie de Cooley · Anémie méditerranéenne · Beta-thalassémie dépendante des transfusions · Thalassémie bêta majeure
deBeta-Thalassämie majorBeta-TDT · Cooley-Anämie · Mittelmeeranämie · Transfusionsabhängige Beta-Thalassämie
esBeta-talasemia mayorAnemia de Cooley · Anemia mediterránea · Beta talasemia dependiente de transfusiones · TDT-Beta
itBeta-talassemia majorBeta-TDT · Anemia di Cooley · Anemia mediterranea
nlBeta-thalassemia majorBèta-TDT · Cooley-anemie · Ernstige bèta-thalassemie · Mediterrane anemie · Transfusieafhankelijke bèta-thalassemie
ptBeta-talassemia majorBeta-TDT · Anemia mediterrânica · Beta-talassemia dependente de transfusão · Anemia Cooley
plBeta-talasemia ciężkaNiedokrwistość Cooley'a · Niedokrwistość śródziemnomorska
csBeta-talasémie majorCooleyova talasémie · Středomořská anémie
ukБета-таласемія мажорнаАнемія Кулі · Середземноморська анемія
zhβ-地中海贫血重型地中海贫血
trBeta-talasemi majörCooley anemisi · Akdeniz anemisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613985NTBTvalidated
ICD-10D56.1NTBTattributedvalidated
ICD-113A50.2NTBTindexvalidated
MONDO0016486Evalidated
UMLSC0002875Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

  • ORPHA:848Beta-thalassemia
    rare genetic diseases; rare renal diseases; rare endocrine diseases; rare hematological diseases; rare transplant-related disorders

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HBBDisease-causing germline mutation(s) inAssessedHGNC:4827ENSG0000024473414190011p15.4hemoglobin subunit beta21886666[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Prevalence at birth1-9 / 1 000 0000.7 / 100 000United StatesValue and classValidated22766612[PMID]
Point prevalence>1 / 1000160 / 100 000BahrainValue and classValidated24044606[PMID]
Point prevalence1-5 / 10 00040 / 100 000OmanValue and classValidated11360093[PMID]_12934793[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

50 annotations · validated 2020-09-28
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010972Anemia of inadequate production
HP:0004823Anisopoikilocytosis
HP:0025547Decreased mean corpuscular hemoglobin concentration
HP:0025066Decreased mean corpuscular volume
HP:0004840Hypochromic microcytic anemia
HP:0000980Pallor
HP:0011904Persistence of hemoglobin F
HP:0011905Reduced hemoglobin A
Frequent (79-30%)
HP:0011031Abnormality of iron homeostasis
HP:0011842Abnormality of skeletal morphology
HP:0000164Abnormality of the dentition
HP:0006487Bowing of the long bones
HP:0002094Dyspnea
HP:0001978Extramedullary hematopoiesis
HP:0001531Failure to thrive in infancy
HP:0011968Feeding difficulties
HP:0002857Genu valgum
HP:0001510Growth delay
HP:0002240Hepatomegaly
HP:0000953Hyperpigmentation of the skin
HP:0001971Hypersplenism
HP:0009004Hypoplasia of the musculature
HP:0000939Osteoporosis
HP:0001744Splenomegaly
Occasional (29-5%)
HP:0002829Arthralgia
HP:0031035Chronic infection
HP:0001394Cirrhosis
HP:0000823Delayed puberty
HP:0005280Depressed nasal bridge
HP:0000819Diabetes mellitus
HP:0002014Diarrhea
HP:0001644Dilated cardiomyopathy
HP:0002007Frontal bossing
HP:0001395Hepatic fibrosis
HP:0001433Hepatosplenomegaly
HP:0001722High-output congestive heart failure
HP:0430028Hyperplasia of the maxilla
HP:0000829Hypoparathyroidism
HP:0040075Hypopituitarism
HP:0000821Hypothyroidism
HP:0000737Irritability
HP:0000952Jaundice
HP:0010620Malar prominence
HP:0001954Recurrent fever
HP:0200042Skin ulcer
HP:0000582Upslanted palpebral fissure
HP:0004936Venous thrombosis
Very rare (<4-1%)
HP:0000846Adrenal insufficiency
HP:0011675Arrhythmia
HP:0001402Hepatocellular carcinoma

Run the differential on the 8 obligate / very frequent terms

Annotation source: 20301599[PMID]_27811859[PMID]

7

Sources for this card