5. Conclusion
We have identified a novel pathogenic gene mutation in a highly consanguineous high-risk family with a rare devastating autosomal recessive disease. This finding has its serous implication for the future generations in case of intermarriagesamongst the family members. Therefore, we used this information to guide us in providing a proper premarital genetic counselling. There is a need to educate the public and the clinicians who are involved in providing the premarital genetic service, as the mandatory genetic screening covers only few common blood disorders. Hence the consanguineous couples should be referred to the genetic clinic if such diseases were found segregating within their families.