Table 1.
Complications of sickle cell disease
| Acute | Chronic |
|---|---|
| Painful crisis | Pulmonary hypertension and heart failure |
| Chest crisis | Renal failure |
| Splenic sequestration crisisa | Liver failure |
| Aplastic crisisb | Cerebrovascular disease |
| Cerebrovascular eventc | Avascular necrosis of the hip |
| Priapism | Osteomyelitis |
| Dactylitis | Leg ulcers |
| Acute thrombotic event | Gallstones |
| Retinopathy | |
| Chronic pain | |
| Impact on education/learning opportunities |
aTypically only occurs in the under 5-year-olds with haemoglobin SS disease;
bAssociated with parvovirus B19;
cPatients with sickle cell disease are predisposed to both ischaemic and haemorrhagic stroke; ischaemic stroke associated with sickle cell disease is treated with exchange transfusion rather than typical stroke management.