Abstract: The results of the study, demonstrate (1) clustering of
Pre-C and
S-gene mutations in the families, (2) horizontal mode of transmission and a common source infection appears to be frequent as evidenced by sequence homology and detailed history, (3)
T118V and
A128V were the commonest mutations in the
S-gene region, while (4) M2 (
G1896A) was the commonest
pre-C gene mutation, and (5) long-term follow-up evaluation of these mutations suggested.