By
Medical Care Review | Saturday,
July 22,
2023
Sickle cell disease (SCD) is a genetic condition affecting the red blood cells. Unlike healthy red blood cells, which are flexible and round, the cells of someone with sickle cell disease are shaped like crescent moons or sickles. This abnormal shape is due to a mutation in the hemoglobin gene, which is responsible for carrying oxygen throughout the body.
Sickle cell disease is inherited in a recessive manner, meaning a person needs to inherit two copies of the mutated gene—one from each parent—to develop the disease. Those with just one copy of the gene are carriers of the sickle cell trait and usually don't experience symptoms, but they can pass the gene to their children.
Living with sickle cell disease can be challenging. The sickle-shaped cells can block blood flow, leading to painful episodes called sickle cell crises. These crises can strike suddenly and cause severe pain, affecting different parts of the body. Other symptoms include anemia (a shortage of red blood cells), swelling in the hands and feet, frequent infections, and fatigue. In some cases, complications can be severe, including damage to organs, stroke, and an increased risk of infections.
Managing sickle cell disease involves a combination of treatments aimed at easing symptoms and preventing complications. Pain management is a significant part of care, and some people might need blood transfusions or medications like hydroxyurea to reduce the frequency of crises. A bone marrow or stem cell transplant offers a potential cure but comes with significant risks and is not an option for everyone.
Ongoing research is focused on finding better treatments and possibly a cure for sickle cell disease. For now, regular check-ups and preventive care are key to managing the condition. Raising awareness about sickle cell disease and providing genetic counseling can help those at risk make informed decisions and improve the quality of life for those affected by this challenging disorder.
