We performed polymerase chain reaction analysis of 8 restriction-site polym
orphisms in the P-globin gene cluster to define haplotypes and provide hema
tological profiles of Relli and Thurpu Kapu caste populations in Andhra Pra
desh, India. Ln all sickle cell homozygous subjects, the clinical manifesta
tion of the disease is benign with elevated fetal hemoglobin levels (3.9%-2
1.1%). Clinical symptoms in some of the sickle cell homozygous subjects inc
lude jaundice, leg ulcers, and splenomegaly, Molecular analysis of the sick
le cell gene (HBB*S) reveals the presence of the ubiquitous Arab-Indian hap
lotype in both populations. We encountered, for the first time, a rare, aty
pical haplotype (+-------) in a sickle cell homozygous individual of the Th
urpu Kapu population, presumably the result of gene conversion.