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What Is A "Sickle
What Is A "Sickle
What Is A "Sickle
ANEMIA”?
Normal vs Sickle Red Cells Sickle
Normal
Disc-Shaped Sickle-Shaped
Deformable Rigid
Life span of 120 days Lives for 20 days or less
Sickle Cell disease
Hemoglobin Genes and Products
Asymptomatic
Microscopic or gross hematuria (1-4%)
Recurrent
Persistent
Iron deficiency, renal obstruction, infection.
Medullary carcinoma of the kidney is more common in patients with SC.
Nephrectomy to control bleeding is almost never indicated because of the high probability of
recurrence in the contralateral kidney.
With extreme exercise, hypoxia and dehydration, complications like splenic infarction and pain
episodes may occur
Oxygenated state Deoxygenated state
Hemoglobin Electrophoresis
Diagnosis
• Early Signs
• Fever
• Tachycardia
• Pallor
• Late Signs
• Pain in extremities
• Back Pain
• Abdominal Pain