Cargando…
Haematological Profile of Children With Sickle Cell Anaemia in Steady State
Introduction Sickle cell anaemia (SCA) is an inherited, autosomal recessive condition that results from a mutation in the β-globin gene. Vascular occlusion is the underlying mechanism behind a myriad of complications encountered. This vascular occlusion is primarily caused by the increased tendency...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671082/ https://www.ncbi.nlm.nih.gov/pubmed/33214940 http://dx.doi.org/10.7759/cureus.11011 |
_version_ | 1783610858630283264 |
---|---|
author | Aliu, Rasaki Iliya, Jalo Quadri, Oladeji R Ibrahim, Olayinka R Daniel, Ezra |
author_facet | Aliu, Rasaki Iliya, Jalo Quadri, Oladeji R Ibrahim, Olayinka R Daniel, Ezra |
author_sort | Aliu, Rasaki |
collection | PubMed |
description | Introduction Sickle cell anaemia (SCA) is an inherited, autosomal recessive condition that results from a mutation in the β-globin gene. Vascular occlusion is the underlying mechanism behind a myriad of complications encountered. This vascular occlusion is primarily caused by the increased tendency of red blood cells (RBC) to adhere to the vascular endothelium, and the activation of platelets and total leucocyte count (TLC), hence the need for a steady-state haematological profile in these patients. Method This was a cross-sectional study conducted over four months at a sickle cell clinic. Haemoglobin (Hb) concentration, haematocrit, platelet, TLC, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH) and mean corpuscular haemoglobin concentration (MCHC) of the subjects were recorded and analysed. Results Ninety-nine subjects aged 1-18 years were recruited for the study. There were 53 (53.5%) males. Leucocytosis was seen in 80 (80.8%), anaemia in 99 (100%), and thrombocytosis in 30 (30.3%) patients. The mean Hb, TLC and platelets were 7.9 ± 1.3g/dl, 14.3 ± 4.5 x 10(3)/mm(3) and 391.5 ± 182.6 x 10(3)/mm(3) respectively. Mean MCV, MCH and MCHC were 81.3 ± 7.1 fl, 28.6 ± 2.9 pg and 35.2 ± 1.7 g/dl respectively. Children aged one to four years had the highest TLC (p=0.002) but the lowest mean Hb and platelet (p=0.094 and 0.06) respectively. The mean MCV, MCH and MCHC were lowest in children aged one to four years (p=0.047, 0.001 and 0.001). Conclusion Anaemia, leucocytosis and thrombocytosis are characteristics features of children with SCA, especially in male and younger subjects. Although Iron markers are generally normal in children with SCA, those under the age of five years tend to have lower values. |
format | Online Article Text |
id | pubmed-7671082 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-76710822020-11-18 Haematological Profile of Children With Sickle Cell Anaemia in Steady State Aliu, Rasaki Iliya, Jalo Quadri, Oladeji R Ibrahim, Olayinka R Daniel, Ezra Cureus Pediatrics Introduction Sickle cell anaemia (SCA) is an inherited, autosomal recessive condition that results from a mutation in the β-globin gene. Vascular occlusion is the underlying mechanism behind a myriad of complications encountered. This vascular occlusion is primarily caused by the increased tendency of red blood cells (RBC) to adhere to the vascular endothelium, and the activation of platelets and total leucocyte count (TLC), hence the need for a steady-state haematological profile in these patients. Method This was a cross-sectional study conducted over four months at a sickle cell clinic. Haemoglobin (Hb) concentration, haematocrit, platelet, TLC, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH) and mean corpuscular haemoglobin concentration (MCHC) of the subjects were recorded and analysed. Results Ninety-nine subjects aged 1-18 years were recruited for the study. There were 53 (53.5%) males. Leucocytosis was seen in 80 (80.8%), anaemia in 99 (100%), and thrombocytosis in 30 (30.3%) patients. The mean Hb, TLC and platelets were 7.9 ± 1.3g/dl, 14.3 ± 4.5 x 10(3)/mm(3) and 391.5 ± 182.6 x 10(3)/mm(3) respectively. Mean MCV, MCH and MCHC were 81.3 ± 7.1 fl, 28.6 ± 2.9 pg and 35.2 ± 1.7 g/dl respectively. Children aged one to four years had the highest TLC (p=0.002) but the lowest mean Hb and platelet (p=0.094 and 0.06) respectively. The mean MCV, MCH and MCHC were lowest in children aged one to four years (p=0.047, 0.001 and 0.001). Conclusion Anaemia, leucocytosis and thrombocytosis are characteristics features of children with SCA, especially in male and younger subjects. Although Iron markers are generally normal in children with SCA, those under the age of five years tend to have lower values. Cureus 2020-10-18 /pmc/articles/PMC7671082/ /pubmed/33214940 http://dx.doi.org/10.7759/cureus.11011 Text en Copyright © 2020, Aliu et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pediatrics Aliu, Rasaki Iliya, Jalo Quadri, Oladeji R Ibrahim, Olayinka R Daniel, Ezra Haematological Profile of Children With Sickle Cell Anaemia in Steady State |
title | Haematological Profile of Children With Sickle Cell Anaemia in Steady State |
title_full | Haematological Profile of Children With Sickle Cell Anaemia in Steady State |
title_fullStr | Haematological Profile of Children With Sickle Cell Anaemia in Steady State |
title_full_unstemmed | Haematological Profile of Children With Sickle Cell Anaemia in Steady State |
title_short | Haematological Profile of Children With Sickle Cell Anaemia in Steady State |
title_sort | haematological profile of children with sickle cell anaemia in steady state |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671082/ https://www.ncbi.nlm.nih.gov/pubmed/33214940 http://dx.doi.org/10.7759/cureus.11011 |
work_keys_str_mv | AT aliurasaki haematologicalprofileofchildrenwithsicklecellanaemiainsteadystate AT iliyajalo haematologicalprofileofchildrenwithsicklecellanaemiainsteadystate AT quadrioladejir haematologicalprofileofchildrenwithsicklecellanaemiainsteadystate AT ibrahimolayinkar haematologicalprofileofchildrenwithsicklecellanaemiainsteadystate AT danielezra haematologicalprofileofchildrenwithsicklecellanaemiainsteadystate |