“…The Hb variant described in the present study, Hb Val de Marne (also known as Hb Footscray), is caused by replacement of the nitrogenous base cytosine by adenine at the 34th codon of the third exon of alpha-globin genes 1 or 2 (HBA1 or HBA2), promoting exchange in the synthesized polypeptide chain of the amino acid serine (codon AGC) for arginine (codon AGA) at position 133 (HBA:p.Ser133Arg) (Wajcman et al, 1993;Owen and Hendy, 1994;Ma et al, 2004;Akbari and Hamid, 2012). Val de Marne is a rare Hb variant and has been described in only four families throughout the world, the first report being in 1993 in France (Wajcman et al, 1993), followed by Australia (Owen and Hendy, 1994), China (Ma et al, 2004), and Iran (Akbari and Hamid, 2012).…”