Autosplenectomy in severity of sickle cell diseases

dc.contributor.authorHelvaci, Mehmet Rami
dc.contributor.authorAcipayam, Can
dc.contributor.authorDavran, Ramazan
dc.date.accessioned2024-09-18T20:02:48Z
dc.date.available2024-09-18T20:02:48Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: We tried to understand whether or not there is an association between prevalence of autosplenectomy and severity of sickle cell diseases (SCDs). Methods: All SCDs patients with red blood cell (RBC) transfusions of less than 50 units in their lives were put into the first group and 50 units or higher were put into the second group. Results: The study included 316 patients (155 females). There were 224 cases (70.8%) in the first group and 92 cases (29.1%) in the second group (p<0.001). The male ratio was significantly higher in the second group (64.1% versus 45.5%, p<0.001). Although both the white blood cell and platelet counts were higher in the second group, there was a significant difference in platelet counts (p=0.005), and this was probably due to the small sample sizes. Although the prevalence of autosplenectomy was significantly higher in the first group (56.2% versus 45.6%, p<0.05), the mean number of painful crises per year, digital clubbing, chronic obstructive pulmonary disease (COPD), leg ulcers, stroke, chronic renal disease (CRD) and coronary heart disease (CHD) were significantly higher in the second groups (p<0.05 for all). Conclusion: In contrast to the lower prevalence of autosplenectomy, the mean number of painful crises per year, digital clubbing, COPD, leg ulcers, stroke, CRD, and CHD were significantly higher in the second group. So there may be an inverse relationship between prevalence of autosplenectomy and severity of SCDs, and spleen may act as a chronic inflammatory focus as a filter of blood for these abnormally hard RBCs.en_US
dc.identifier.endpage1409en_US
dc.identifier.issn1940-5901
dc.identifier.issue5en_US
dc.identifier.pmid24995103en_US
dc.identifier.scopus2-s2.0-84902190535en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1404en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8030
dc.identifier.volume7en_US
dc.identifier.wosWOS:000341254800030en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherE-Century Publishing Corpen_US
dc.relation.ispartofInternational Journal of Clinical and Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAutosplenectomyen_US
dc.subjectsickle cell diseasesen_US
dc.subjectchronic capillary damageen_US
dc.titleAutosplenectomy in severity of sickle cell diseasesen_US
dc.typeArticleen_US

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