What Is A "Sickle

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What is a “SickleSICKLE CELL

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

 Hemoglobin is a tetramer of the product of 2 genes, 𝞪 globulin and non-𝞪 globulin


 There is 2 identical 𝞪 genes on Chr 16p
 𝞫, 𝞭, 𝞬 genes are on chr 11p

Hemoglobin Genotype Amount


Hb A α2β2 96%
Hb A2 α2δ2 3%
Hb F α2γ2 1%
Sickle Cell disease
Sickle cell trait

 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

 Peripheral blood smear


Vaso-occlusive Pain crisis

• Early Signs
• Fever
• Tachycardia
• Pallor

• Late Signs
• Pain in extremities
• Back Pain
• Abdominal Pain

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