Sickle cell disorderHemoglobin composition (%)HbA2 levelErythrocyte volume (MCV)Clinical severityClinical features
HbSSHbS: 80 to 95NormalNormal+ + to + + + +Severe disease
HbF: 2 to 20
HbS-β°-thalassemiaHbS: 75 to 90IncreasedDecreased+ + to + + + +Generally indistinguishable from SS
HbF: 5 to 25
HbS-β+-thalassemiaHbS: 5 to 85IncreasedDecreased+ to + + +Generally milder than SS
HbA: 10 to 30
HbF: 5 to 10
HbSS with α-thalassemia trait (−, α/ −, α)HbS: 80 to 90NormalDecreased+ + to + + + +May be milder than SS
HbF: 10 to 20
HbSCHbS: 45 to 50NormalNormal+ to + + +Generally milder than SS; higher frequency of bone infarcts and proliferative retinal disease
HbC: 45 to 50
HbF: 2 to 5
HbSo ArabHbS: 50 to 55NormalNormal+ + to + + + +Generally indistinguishable from SS
HbO: 40 to 45
HbF: 2 to 15
HbSD Los AngelesHbS: 45 to 50NormalNormal+ + to + + + +May be as severe as SS
HbD: 30 to 40
HbF: 5 to 20
HbS/HPFH*HbS: 65 to 80NormalNormal0 to +Usually asymptomatic
HbF: 15 to 30
HbAS*HbS: 32 to 45NormalNormal0 to +Asymptomatic
HbA: 52 to 65