Hypochromic and microcytic red cell morphology is the most commonly en
countered abnormality in a clinical laboratory. Most of such cases hav
e iron deficiency anaemia. However, in Pakistan about 5% of the indivi
duals with a hypochromic and microcytic blood picture have the beta-th
alassaemia trait. These individuals are more than often in a positive
iron balance. However iron deficiency (being common) may be associated
with the beta-thalassaemia trait. This study of serum ferritin levels
was carried out on 135 confirmed cases of the beta-thalassaemia trait
. A ferritin assay was done by a radioimmunoassay technique. The resul
ts show that the level of serum ferritin in 100 (74%) cases was within
normal limits, in 17 (12.6%) cases it was above the normal range, whe
reas in 18 (13.4%) cases the level was lower than normal. The importan
ce of serum ferritin estimation in carriers of the beta-thalassaemia t
rait is highlighted.