“…Unlike Algeria, variants c.1521_1523delCTT (47.06–56%) and c.3310G >T (p.lu1104X) (16.18%) were the most frequent in Tunisia, alongside the common variants c.1624G >T, c.3846G>A, c.3909C>G, c.579 + 1G >T, and c.254G>A ( Messaoud et al, 2005 , Boussetta et al, 2018 ). Other variant such as c.2766del8, c.3497T>G (p.Phe1166Cys) and c.3128T>G (p.Leu1043Arg) were exclusively found in a study of patients in Tunisia ( Messaoud et al, 2005 ), while c.1993A >T (p.Thr665Ser) was initially exclusively identified amongst Tunisians but more recently identified in Egyptian patients ( Messaoud et al, 2005 , El-Seedy et al, 2017 ). Two more rare Tunisian specific variants identified were c.57G>A (p.Trp19X), reported in only two cases since 2013, and more recently the c.680T>G (p.Leu227Arg) ( Sediki et al, 2016 ).…”