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==Overview==
==Overview==
'''Sickle-cell disease''' is a group of [[genetic disorders]] caused by sickle [[hemoglobin|hemoglobin]] (Hgb S or Hb S). In many forms of the disease, the [[red blood cell]]s change shape upon deoxygenation because of [[polymerization]] of the abnormal sickle hemoglobin, the hemoglobin sticks to each other, causing the cell to get a rigid surface and sickle shape. This process damages the red blood cell [[cell membrane|membrane]], and can cause the cells to become stuck in blood vessels. This deprives the downstream tissues of [[oxygen]] and causes [[ischemia]] and [[infarction]], which may cause organ damage, such as [[stroke]]. The disease is chronic and lifelong. Individuals are most often well, but their lives are punctuated by  periodic painful attacks. Life-expectancy is  shortened, but contemporary survival data is lacking. Older studies indicated that sufferers could live to an average of 40 to 50 years, with the average age for males being 42 and the average age for females being 48. Sickle-cell disease occurs more commonly in people (or their descendants) from parts of the world such as sub-Saharan Africa, where [[malaria]] is or was common, but it also occurs in people of other ethnicities. As a result, those with sickle cell disease are resistant to malaria since the red blood cells are not conducive to the parasites. The mutated [[allele]] is [[recessive]], meaning it must be inherited from each parent for the individual to have the disease.
'''Sickle-cell disease''' is a group of [[genetic disorders]] caused by mutation in the β-globin chain gene of [[hemoglobin]] at the 6th position replacing [[glutamic acid]] to [[valine]]. HbS polymerizes reversibly when deoxygenated to form a network of fibrous [[hemoglobin]] polymers that stiffens the RBC [[Cell membrane|membrane]], giving it a sickle shape. These sickled cells loose the pliability to cross thin capillaries and possess a sticky membrane, giving it a property to adhere to the [[endothelium]] of blood vessels, thereby causing vaso-occlusion. It causes significant morbidity and mortality, particularly in people in the Mediterranean and African region.


==References==
==References==

Revision as of 20:16, 20 August 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]

Overview

Sickle-cell disease is a group of genetic disorders caused by mutation in the β-globin chain gene of hemoglobin at the 6th position replacing glutamic acid to valine. HbS polymerizes reversibly when deoxygenated to form a network of fibrous hemoglobin polymers that stiffens the RBC membrane, giving it a sickle shape. These sickled cells loose the pliability to cross thin capillaries and possess a sticky membrane, giving it a property to adhere to the endothelium of blood vessels, thereby causing vaso-occlusion. It causes significant morbidity and mortality, particularly in people in the Mediterranean and African region.

References

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