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. 1971 Dec 4;4(5787):593–595. doi: 10.1136/bmj.4.5787.593

The Sickle-cell and Altitude

R L Green, R G Huntsman, G R Serjeant
PMCID: PMC1799937  PMID: 5130214

Abstract

High altitude seemed to be responsible for seven recent cases of sickling crisis. People with sickle-cell trait are at risk if they fly in unpressurized aircraft, which are used for many local air services. Those with sickle-cell haemoglobin C disease should avoid air travel even in pressurized aircraft. Possibly as a result of “autosplenectomy,” patients with sickle-cell anaemia seem to be able to fly in pressurized aircraft with little risk. All passengers and aircrew who might have some form of sickle-cell disease should be screened before flight.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beighton P. H., Richards P. R. Cardiovascular disease in air travellers. Br Heart J. 1968 May;30(3):367–372. doi: 10.1136/hrt.30.3.367. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. COLEMAN W. A., FURTH F. W. Splenic infarction in a patient with sickle-cell-hemoglobin-c disease; report of a case occurring following air travel. AMA Arch Intern Med. 1956 Aug;98(2):247–249. doi: 10.1001/archinte.1956.00250260121012. [DOI] [PubMed] [Google Scholar]
  3. COOLEY J. C., PETERSON W. L., ENGEL C. E., JERNIGAN J. P. Clinical triad of massive splenic infarction, sicklemia trait, and high altitude flying. J Am Med Assoc. 1954 Jan 9;154(2):111–113. doi: 10.1001/jama.1954.02940360009003. [DOI] [PubMed] [Google Scholar]
  4. DOENGES J. P., SMITH E. W., WISE S. P., 3rd, BREITENBUCHER R. B. Splenic infarction following air travel and associated with the sickling phenomenon. J Am Med Assoc. 1954 Nov 6;156(10):955–957. doi: 10.1001/jama.1954.02950100031010a. [DOI] [PubMed] [Google Scholar]
  5. ERLANDSON M. E., SCHULMAN I., SMITH C. H. Studies on congenital hemolytic syndromes. III. Rates of destruction and production of erythrocytes in sickle cell anemia. Pediatrics. 1960 Apr;25:629–644. [PubMed] [Google Scholar]
  6. Jones S. R., Binder R. A., Donowho E. M., Jr Sudden death in sickle-cell trait. N Engl J Med. 1970 Feb 5;282(6):323–325. doi: 10.1056/NEJM197002052820607. [DOI] [PubMed] [Google Scholar]
  7. Konotey-Ahulu F. I. Anaesthetic deaths and the sickle-cell trait. Lancet. 1969 Feb 1;1(7588):267–268. doi: 10.1016/s0140-6736(69)91287-2. [DOI] [PubMed] [Google Scholar]
  8. ROTTER R., LUTTGENS W. F., PETERSON W. L., STOCK A. E., MOTULSKY A. G. Splenic infarction in sicklemia during airplane flight: pathogenesis, hemoglobin analysis and clinical features of six cases. Ann Intern Med. 1956 Feb;44(2):257–270. doi: 10.7326/0003-4819-44-2-257. [DOI] [PubMed] [Google Scholar]
  9. SMITH E. W., CONLEY C. L. Sicklemia and infarction of the spleen during aerial flight; electrophoresis of the hemoglobin in 15 cases. Bull Johns Hopkins Hosp. 1955 Jan;96(1):35–41. [PubMed] [Google Scholar]
  10. SULLIVAN B. H., Jr Danger of airplane flight to persons with sicklemia. Ann Intern Med. 1950 Feb;32(2):338–342. doi: 10.7326/0003-4819-32-2-338. [DOI] [PubMed] [Google Scholar]
  11. Serjeant G. R. Irreversibly sickled cells and splenomegaly in sickle-cell anaemia. Br J Haematol. 1970 Nov;19(5):635–641. doi: 10.1111/j.1365-2141.1970.tb01647.x. [DOI] [PubMed] [Google Scholar]

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