Description : Neonatal cyanosis is characterized by symptoms in the fetus and neonate that gradually
abate by 5 to 6 months of age. The disorder is caused by a defect in the fetal hemoglobin
chain, which causes reduced affinity for oxygen due to steric inhibition of oxygen
binding and/or due to increased oxidation of the fetal hemoglobin molecule to methemoglobin
(Hb FM), which has decreased oxygen-binding capacity. Some patients develop anemia
resulting from increased destruction of red cells containing abnormal or unstable
hemoglobin. The cyanosis resolves spontaneously by 5 to 6 months of age or earlier,
as the adult beta-globin chain (HBB; 141900) is produced and replaces the fetal gamma-globin
chain (summary by Crowley et al., 2011).;
Inheritance : Autosomal dominant;
Molecular basis : Caused by mutation in the gamma G hemoglobin gene (HBG2, 142250.0025);