Disease of red blood cells caused by an autosomal-recessive single gene defect in the beta chain of haemoglobin (HbA), which results in sickle cell haemoglobin (HbS).
Sickle cells can obstruct blood flow and break down prematurely, and are associated with varying degrees of anaemia.
Obstruction of small blood capillaries can cause painful crises, damage to major organs, and increased vulnerability to severe infections.
Associated with lifelong morbidity and reduced life expectancy.
All infants are screened, with findings confirmed by haemoglobin electrophoresis, full blood count, reticulocyte count, and peripheral blood smear.
Treatment goals include symptom control (including pain management), and prevention and management of complications.
Sickle cell anaemia (sickle cell disease) is caused by an autosomal-recessive single gene defect in the beta chain of haemoglobin (HbA), which results in production of sickle cell haemoglobin (HbS). Other forms of sickle cell disease may occur if HbS is inherited from one parent and another abnormal haemoglobin or beta thalassaemia is inherited from the other parent (e.g., HbSB-thal or HbSC). Sickle cell anaemia is associated with varying degrees of anaemia, red cell haemolysis, and obstruction of small blood capillaries causing painful crises, damage to major organs, and increased vulnerability to severe infections. Sickle cell trait occurs if HbS is inherited from one parent and the normal HbA from the other.
History and exam
Sickle Cell Center for Adults
Associate Professor of Medicine and Oncology
Johns Hopkins Medicine
SL has been the site principal investigator on several industry-funded studies with the following companies: Pfizer, Selexys, Astra Zeneca, and Prolong. She also receives research funding from PCORI and HRSA.
Dr Sophie Lanzkron would like to gratefully acknowledge Dr Channing Paller, a previous contributor to this topic. CP declares that she has no competing interests.
Instructor in Medicine
Division of Hematologic Neoplasia
Dana-Farber Cancer Institute
JB declares that he has no competing interests.
University College London Hospitals
AS declares that he has no competing interests.
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