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Chapter 28 - Sickle Cell Disease

from Part VI - Misc

Published online by Cambridge University Press:  01 December 2023

Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Sickle cell crisis is a term used to capture myriad acute manifestations of sickle cell disease (SCD). Underlying pathophysiology is due to polymerization of HbS, sickling of erythrocytes, and microvascular occlusion and injury. Sickle cell disease and related pain is common in the US, especially among black Americans. Routine newborn screening picks up the majority of cases and helps guide prevention and treatment of acute pain crises early on. The mainstay of treating vaso-occlusive crises is analgesia and is often achieved with NSAIDs, opioids, or combination therapy.

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Publisher: Cambridge University Press
Print publication year: 2023

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