alpha-Thalassaemias are probably the,Most common genetic disorder worl
dwide. alpha-Thalassaemias are haemolytic anaemias resulting from inhe
rited deficient synthesis of alpha-globin chains. In this paper the cl
assification and nomenclature of alpha thalassaemias are developed. Pr
ocedures to ensure the laboratory diagnosis are explained The heterozy
gous carrier states for these disorders are, in most cases, not associ
ated with any easily discernible change in the haemoglobin pattern, ex
cept, sometimes, a reduced MCV in the blood picture. Heterozygotes alp
ha-thalassaemia deletions are now detectable by the accurate PCR metho
d Because of the high prevalence of these disorders in large segments
of the world population, alpha-thalassaemia and haemogblobinopathies o
ften occur in the same individual. The laboratory features of these in
teractions and, particularly, the role of alpha-thalassaemia as a pote
ntial modulator of sickling haemoglobinopathies are discussed.