Sickle cell disease can occur in white people. While sickle cell disease is more common in African-Americans, it can affect people of any race or ethnicity. While sickle cell disease is more common in African-Americans compared to other ethnicities, it can affect people of any race or ethnicity.
What causes sickle cell disease? Sickle cell is an inherited disease caused by a defect in a gene. A person will be born with sickle cell disease only if two genes are inherited—one from the mother and one from the father. A person who inherits just one gene is healthy and said to be a "carrier" of the disease.
Sickle cells that block blood flow to organs deprive the affected organs of blood and oxygen. In sickle cell anemia, blood is also chronically low in oxygen. This lack of oxygen-rich blood can damage nerves and organs, including kidneys, liver and spleen, and can be fatal.
Early symptoms of sickle cell disease may include:
Sep 1, 2020
Stem cell or bone marrow transplants are the only cure for sickle cell disease, but they're not done very often because of the significant risks involved. Stem cells are special cells produced by bone marrow, a spongy tissue found in the centre of some bones. They can turn into different types of blood cells.
Sickle cell disease (SCD) is a serious group of conditions which are inherited (genetic). It affects the red blood cells in the blood. Sickle cell anaemia is the name of a specific form of SCD in which there are two sickle cell genes (see below).
The pain may feel sharp, stabbing, intense, or throbbing. Some people with sickle cell disease say it's worse than childbirth or the pain after surgery. You may have pain anywhere in your body and in more than one place.
The reason why so many black people have sickle cell, is that having the trait (so only one copy of the mutated allele) makes people more resistant to malaria. Malaria is a huge problem is sub-saharan Africa.
There are several types of sickle cell disease. The most common are: Sickle Cell Anemia (SS), Sickle Hemoglobin-C Disease (SC), Sickle Beta-Plus Thalassemia and Sickle Beta-Zero Thalassemia.
Like most genes, individuals inherit one from each parent. Examples: If one parent has sickle cell anemia (SS) and the other parent has normal (AA) blood, all of the children will have sickle cell trait.
Who gets sickle cell anemia? In the United States, the disease occurs most often among African Americans (in about 1 of every 400 African American births) and among Hispanics of Caribbean ancestry (1 in every 1,000 to 1,400 Hispanic American children).
The sickle cell mutation is relevant to malaria because infection of a red blood cell with the malaria parasite leads to hypoxia. In individuals of the AS genotype such blood cells sickle and are then eliminated by macrophage cells of the body's immune system, lessening the burden of infection (Luzzatto, 2012).
Medications. Hydroxyurea (Droxia, Hydrea, Siklos). Daily hydroxyurea reduces the frequency of painful crises and might reduce the need for blood transfusions and hospitalizations.
Life expectancy for the SCD cohort was estimated at 54 years, which was 22 years lower than the life expectancy for the matched non-SCD cohort, and 25 years lower than the US general population (life expectancies of 76 and 79 years, respectively).
SCD originated in West Africa, where it has the highest prevalence. It is also present to a lesser extent in India and the Mediterranean region. DNA polymorphism of the beta S gene suggests that it arose from five separate mutations: four in Africa and one in India and the Middle East.
Its persistence in human populations has been attributed to the resistance it provides to Plasmodium falciparum malaria in its heterozygous state, called sickle cell trait (SCT).
People with sickle cell disease (SCD) start to have signs of the disease during the first year of life, usually around 5 months of age.
When both individuals are sickle cell carriers, the church discourages them from marrying. Some church denominations, especially in Enugu state, go further and refuse to wed couples when both individuals are sickle cell carriers.
avoid very strenuous exercise – people with sickle cell disease should be active, but intense activities that cause you to become seriously out of breath are best avoided. avoid alcohol and smoking – alcohol can cause you to become dehydrated and smoking can trigger a serious lung condition called acute chest syndrome.
“Individuals are born with the condition, which they inherit from both of their parents. A person cannot 'catch' sickle cell disease from someone who has it or develop the condition later in life if they do not have it at birth,” says Dr. Sayani.