Prepubertal hypertransfusion in talassemia intermedia: A case report of sustained positive efects on growth, splenic function and endocrine parameters

We report a known case of thalassemia intermedia (Hb Dhofar) who in spite of mild thalassemic facies, attained his normal genetic height, pubertal maturity and improved self-image with minimal splenomegaly through a hypertransfusion/chelation regimen that was started just before puberty and maintained for 5 years. As there are no clear guidelines in the management of patients with thalassemia intermedia, the option of hypertransfusion/ chelation during the pubertal growth spurt may alleviate some of the complications associated with thalassemia intermedia.