Sickle Cell Disease Flashcards
What is sickle cell disease?
Inheritance of sickle β-globin chain
What is the mutation?
Point mutation of valine for glutamic acid in position 6 of the β-chain
What is the inheritance pattern?
Autosomal recessive
What type of crises can be experienced in sickle cell?
Vaso-occlusive
Aplastic
Haemolytic
What is a vaso-occlusive crisis?
Microcirculation obstructed by sickle cells causing ischaemic injury
What is an aplastic crisis?
Insufficient production of RBCs
What is a haemolytic crisis?
Increases rate of haemolysis
How is sickle cell managed?
Folic acid
Vaccinations
Penicillin - hyposplenism
Hydroxycarbamide
What are the consequences of sickle cell?
Reduced life expectancy
Acute + chronic pain
Stroke
Neurological problems