Sickle Cell Disease: Everything You Ever Wanted To Know
Sickle Cell Disease: Everything You Ever Wanted To Know
Sickle Cell Disease: Everything You Ever Wanted To Know
NORMAL
SICKLE
Sickle-shaped Hard (like a piece of wood) Often gets stuck in small blood vessels Lives for 20 days or less
Disc-shaped Soft (like a bag of jelly) Easily flows through small blood vessels Lives for 120 days
BLOOD FLOW
PAIN
Common complication Occurs in children and adults May occur anywhere in the body Sickle cells block small blood vessels PAIN Pain episodes often referred to as crises
ANEMIA
Lower than normal number of red blood cells Main Cause = short life of red blood cells
HAND-FOOT SYNDROME
PENICILLIN
Given twice a day every day to prevent serious infections
DAMAGED SPLEEN
Non-functioning spleen
Spleen
Risk of infection
Sickling in blood
STROKE
DEHYDRATION
Fluid loss Dehydration Blocked Blood vessels Pain & Tissue damage
TREATMENT STRATEGIES
Red Blood Cell Transfusions: Acute transfusions- used for pneumonia, severe anemia Chronic Transfusions- major treatment for strokes in children Complications of transfusions include iron overload, infection, antibody formation and transfusion reactions
TREATMENT STRATEGIES
Hydroxyurea: Stimulates fetal hemoglobin production May cause bone marrow suppression, possible malignancy Long term effects are not well understood
TREATMENT STRATEGIES
Bone marrow transplants: Reserved for individuals at very high risk of complications Significant mortality risk Difficulty finding a matched donor Chance of serious complications from the procedure