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  2. Vaso-occlusive phenomena and hemolysis are the clinical hallmarks of sickle cell disease (SCD). Vaso-occlusion results in recurrent painful episodes (previously called sickle cell crisis) and a variety of serious organ system complications that can lead to life-long disabilities and even death.
    www.uptodate.com/contents/overview-of-the-mana…
    The vaso-occlusive crisis, or sickle cell crisis, is initiated and sustained by interactions among sickle cells, endothelial cells and plasma constituents. 1 Vaso-occlusion is responsible for a wide variety of clinical complications of sickle cell disease, including pain syndromes, stroke, leg ulcers, spontaneous abortion and renal insufficiency.
    www.aafp.org/pubs/afp/issues/2000/0301/p1349.html
     
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    Is vaso-occlusion a hallmark of sickle cell disease?2013 Dec 5;122 (24):3892-8. doi: 10.1182/blood-2013-05-498311. Epub 2013 Sep 19. Departments of Pediatrics. Recurrent and unpredictable episodes of vaso-occlusion are the hallmark of sickle cell disease.
    What is the link between sickle cell disease and ischemic strokes?
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    Dr. Sravya Vuppalapati

    MBBS · 1 years of exp

    Sickle cell disease, a genetic blood disorder, causes red blood cells to become stiff and take on a sickle shape. This abnormal shape increases the risk of complications, including ischemic strokes. Ischemic strokes occur when blood flow to the brain is blocked or reduced, leading to damage or death of brain cells. The link between sickle cell disease and ischemic strokes is due to the sickle-shaped cells blocking blood vessels in the brain, disrupting blood flow and causing damage. The risk is particularly high in children with sickle cell disease and can continue into adulthood.
    Q&A: Sickle Cell Anemia
    microsoftstart.msn.com
    What is a vaso-occlusive crisis in sickle cell disease?Our current understanding of a vaso-occlusive crisis in patients with sickle cell disease (SCD) is that it is a multifactorial process characterized by inflammation, adhesion, and multicellular aggregation of sickled red blood cells, endothelial cells, platelets, and other blood cells, resulting in vaso-occlusion and acute severe pain.
    What factors are involved in vaso-occlusion in sickle cell disease?Potential involvement of tissue factor, thrombin and endothelial PAR-1 in vaso-occlusion in sickle cell disease. Hb, hemoglobin; TF, tissue factor; VWF, von Willebrand factor. Painful vaso-occlusive events that frequently require emergency department visits and hospitalization are the most pressing concern for patients with sickle cell disease.
     
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