Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria

Background: There are documented established markers (indices) of disease severity in patients with sickle cell anemia (SCA) and they determine the course of the disease. This study investigated the pattern and prevalence of some of these markers of disease severity in adult patients with SCA in ste...

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Main Authors: Oguntoye Oluwatosin Oluwagbenga, Ndububa Dennis A., Yusuf Musah., Bolarinwa Rahman A., Ayoola Oluwagbemiga O.
Format: Article
Language:English
Published: Knowledge E 2019-03-01
Series:Sudan Journal of Medical Sciences
Online Access:https://knepublishing.com/index.php/SJMS/article/view/4381
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author Oguntoye Oluwatosin Oluwagbenga
Ndububa Dennis A.
Yusuf Musah.
Bolarinwa Rahman A.
Ayoola Oluwagbemiga O.
author_facet Oguntoye Oluwatosin Oluwagbenga
Ndububa Dennis A.
Yusuf Musah.
Bolarinwa Rahman A.
Ayoola Oluwagbemiga O.
author_sort Oguntoye Oluwatosin Oluwagbenga
collection DOAJ
description Background: There are documented established markers (indices) of disease severity in patients with sickle cell anemia (SCA) and they determine the course of the disease. This study investigated the pattern and prevalence of some of these markers of disease severity in adult patients with SCA in steady state attending the hematology clinic of a federal tertiary teaching hospital in Ile-Ife, Nigeria. Materials and Methods: This was a descriptive study. Basic demographic data and relevant clinical information was obtained using a well-structured questionnaire and the case files (hospital records) of 50 consecutive SCA (HbSS) patients. Results: The study group comprised of 21(42%) males and 29(58%) females. The age range was 18–45years with a mean(±SD) of 27.6±7.607. Hepatomegaly(64%), frequent episodes of vaso-occlusive crisis, that is, ≥ 3 episodes per year(30%) and Dactylitis in infanthood(26%) were the most common clinical parameters identified in these patients while a high serum total bilirubin of > 51µmol/L(26%) was the most common laboratory parameter seen in these patients. Conclusion: Markers of disease severity were identified in the patients with SCA in this study. The presence of these markers in an SCA patient connotes severe disease and they determine the course of the disease. Therefore, there is a need to pay more attention to these patients by following them up more closely.
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issn 1858-5051
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spelling doaj-art-ce8a632b26b141acafc27d585b5d45c32025-01-22T06:41:55ZengKnowledge ESudan Journal of Medical Sciences1858-50512019-03-01141526310.18502/sjms.v14i1.43814381Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, NigeriaOguntoye Oluwatosin OluwagbengaNdububa Dennis A.Yusuf Musah.Bolarinwa Rahman A.Ayoola Oluwagbemiga O.Background: There are documented established markers (indices) of disease severity in patients with sickle cell anemia (SCA) and they determine the course of the disease. This study investigated the pattern and prevalence of some of these markers of disease severity in adult patients with SCA in steady state attending the hematology clinic of a federal tertiary teaching hospital in Ile-Ife, Nigeria. Materials and Methods: This was a descriptive study. Basic demographic data and relevant clinical information was obtained using a well-structured questionnaire and the case files (hospital records) of 50 consecutive SCA (HbSS) patients. Results: The study group comprised of 21(42%) males and 29(58%) females. The age range was 18–45years with a mean(±SD) of 27.6±7.607. Hepatomegaly(64%), frequent episodes of vaso-occlusive crisis, that is, ≥ 3 episodes per year(30%) and Dactylitis in infanthood(26%) were the most common clinical parameters identified in these patients while a high serum total bilirubin of > 51µmol/L(26%) was the most common laboratory parameter seen in these patients. Conclusion: Markers of disease severity were identified in the patients with SCA in this study. The presence of these markers in an SCA patient connotes severe disease and they determine the course of the disease. Therefore, there is a need to pay more attention to these patients by following them up more closely.https://knepublishing.com/index.php/SJMS/article/view/4381
spellingShingle Oguntoye Oluwatosin Oluwagbenga
Ndububa Dennis A.
Yusuf Musah.
Bolarinwa Rahman A.
Ayoola Oluwagbemiga O.
Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria
Sudan Journal of Medical Sciences
title Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria
title_full Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria
title_fullStr Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria
title_full_unstemmed Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria
title_short Clinical and Biochemical Manifestations of Severe Sickle Cell Anemia in Adult Patients in Steady State in Ile-Ife, Nigeria
title_sort clinical and biochemical manifestations of severe sickle cell anemia in adult patients in steady state in ile ife nigeria
url https://knepublishing.com/index.php/SJMS/article/view/4381
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