Sickle Cell Disease
Quick Definition ► A genetic disorder of red blood cell (hemoglobin) production that gives red blood cells a sickle shape
History of Sickle Cell The origin of the gene mutation that led to sickle-cell occurred in the Arabian peninsula. It spread to Asia and Africa. Malaria was the selective pressure. This mutation occurred up to 6,000 generations ago, approximately 150,000 years back.
Who has it? Mostly descendants of: Tropical parts of Africa Southeast Asia
The Stats
How it Affects the Body ► Red Blood Cells Die Early 16 days rather than 120 ► Blood Flow Sickle shape can clog ► Body Parts/Organs Oxygen Debt (Ischemia) ► Immune System Functions Poorly
Symptoms ► Vasoocclusive Crises ( Blood Vessel Blockage) Necrosis (dead tissue) ► Ulcers (open wounds) Pain ► Muscles, Skeleton, Chest, Abdomen Lung Tissue Damage Heart Ischemia (lack of blood) Renal (kidney) Failure Stroke Swelling ► Hematological Problems (Blood) Fall in hemoglobin level Organ damage ► Spleen - from absorption of sickle shaped RBC’s ► Kidneys ► Liver Bone marrow function suffers ► Anemia
Symptoms (cont.)
► Infectious Crises Immunosuppression (reduced immune response) from loss of splene function ► Life expectancy: 42 – 48 ► Pregnancy – miscarriages ► Clots Symptoms (cont.)
Statistics and the facts ► 70,000 – 100,000 Americans suffer from the disease ► 1 in 500 African Americans have the disease 1 in 12 are Carriers ► 1 in 1200 Hispanic Americans ► Sickle cell disease still prevents Malaria
Has It TLC Singer T-Boz Tionne T-Boz Watkins As well as – Rapper Prodigy, Pro Football Player Tiki Barber, Actor Larenz Tate, Trumpeter Miles Davis and many, many others!
What about a future? ► Stem Cell research ► Gene therapy
Sources ► SCDAA. “What is Sickle Cell Disease?” April ► Wikipedia. “Sickle Cell Disease.” June ► KidsHealth. “Sickle Cell Disease.” June ► DHS/NIH. “What is Sickle Cell Anemia.” August ► Genetics Home Reference. “Sickle Cell Disease.” February ► Prof. Ishita Mukerji. “Sickle Cell Disease.” March ► Bryan Bledsoe. Essentials of Paramedic Care 2 nd Ed. Pg Copyright ► Marshall Lichtman. Williams Hematology 7 th Ed. Pg Copyright 2006.