Background: The increased survival rate of thalassemic patients has led to unmasking of management related complications which were infrequently encountered. Objective: Study the increased coagulation and platelet activation in children with β-thalassemia, to analyze the factors that lead to such hypercoagulable state and to study pulmonary hypertension (PH) in conjunction with platelet activation and hypercoagulable state in children with β-thalassemia. Methods: 36 Egyptian children with β-thalassemia with a mean age of 9.9 years (±4.7 SD). In addition, 20 healthy Egyptian children matched for age and sex were enrolled as a control group. Both were subjected to clinical and laboratory assessments. Echocardiography was done to the patient group and PH was diagnosed based on calculated mean pulmonary artery pressure [MPAP] >25 mmHg. Results: We found that, mean ± SD serum P-selectin level (platelet activator marker) was significantly higher in thalassemic patients (2337 ± 566 pg/ml) in comparison to controls (1467 ± 247 pg/ml) (P
