Monday, January 17, 2011

What is sickle cell trait??


A genetic problem causes sickle cell anemia. People with the disease are born with two sickle cell genes, one from each parent. If you only have one sickle cell gene, it's called sickle cell trait. A blood test can show if you have the trait or anemia.


Sickle Cell trait (AS) is an inherited condition in which both hemoglobin A and S are produced in the red blood cells, always more A than S. Sickle cell trait is not a type of sickle cell disease. People with sickle cell trait are generally healthy, comprainf with persons with sickle cell disease.



If sickle cell trait is not an illness why are people test?? 



Babies are tested to see if they have sickle cell disease. Teens and adults are tested mainly to see if they can have a baby with the disease.

This is a very polemic question because even if the consequences of sickle cell trait affect directly to the patient bringing many risks that don’t let them develop as usually.

A summary of the risks associated with sickle cell trait is as follows:

1.     Splenic infarction at high altitude, with exercise, or with hypoxemia
2.     Isothenuria with loss of maximal renal concentrating ability
3.     Hematuria secondary to renal papillary necrosis
4.     Fatal exertional heat illness with exercise
5.     Sudden idiopathic death with exercise
6.     Glaucoma or recurrent hyphema following a first episode of hyphema
7.     Bacteruria in women
8.     Bacteruria or pyelonephritis associated with pregnancy
9.     Renal medullary carcinoma in young people (ages 11 to 39 years)
10. Early onset of end stage renal disease from autosomal dominant polycystic kidney disease.
11. Increased risk of pulmonary embolism among older hospitalized patients and adverse outcomes from intrathoracic or open heart surgery remain unresolved areas of controversy. The level of evidence available is suggestive but not convincing for a substantial association with sickle cell trait.
(Howard Universty School of Medicine,Washington, D.C. 20059
revised December 20, 2000)

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