Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease

Liver involvement in patients with sickle cell anemia/trait includes a wide range of alterations, from mild liver function test abnormalities to cirrhosis and acute liver failure. Approximately 15–30% of patients with sickle cell anemia present cirrhosis at autopsy. The pathogenesis of cirrhosis is...

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Main Authors: Luca Santi, Giancarlo Montanari, Sonia Berardi, Corrado Patti, Marta Frigerio, Claudia Sama, Paolo Caraceni, Mauro Bernardi
Format: Article
Language:English
Published: Karger Publishers 2009-09-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://www.karger.com/Article/FullText/235235
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author Luca Santi
Giancarlo Montanari
Sonia Berardi
Corrado Patti
Marta Frigerio
Claudia Sama
Paolo Caraceni
Mauro Bernardi
author_facet Luca Santi
Giancarlo Montanari
Sonia Berardi
Corrado Patti
Marta Frigerio
Claudia Sama
Paolo Caraceni
Mauro Bernardi
author_sort Luca Santi
collection DOAJ
description Liver involvement in patients with sickle cell anemia/trait includes a wide range of alterations, from mild liver function test abnormalities to cirrhosis and acute liver failure. Approximately 15–30% of patients with sickle cell anemia present cirrhosis at autopsy. The pathogenesis of cirrhosis is usually related to chronic hepatitis B or C infection or to iron overload resulting from the many transfusions received by these patients in their lifetime. Thus, cirrhosis has been described almost exclusively in patients with sickle cell anemia, while only mild liver abnormalities have been associated with the sickle cell trait. In the present case study, we describe a young Mediterranean man carrying a sickle cell trait (Hb Sβ+ thalassemia) who developed liver cirrhosis being negative for hepatitis C and B viruses or for other causes of cirrhosis and not receiving chronic blood transfusions.
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spelling doaj.art-294d1a8458b94c8d885c3714147d73142022-12-22T03:43:26ZengKarger PublishersCase Reports in Gastroenterology1662-06312009-09-013327527910.1159/000235235235235Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic DiseaseLuca SantiGiancarlo MontanariSonia BerardiCorrado PattiMarta FrigerioClaudia SamaPaolo CaraceniMauro BernardiLiver involvement in patients with sickle cell anemia/trait includes a wide range of alterations, from mild liver function test abnormalities to cirrhosis and acute liver failure. Approximately 15–30% of patients with sickle cell anemia present cirrhosis at autopsy. The pathogenesis of cirrhosis is usually related to chronic hepatitis B or C infection or to iron overload resulting from the many transfusions received by these patients in their lifetime. Thus, cirrhosis has been described almost exclusively in patients with sickle cell anemia, while only mild liver abnormalities have been associated with the sickle cell trait. In the present case study, we describe a young Mediterranean man carrying a sickle cell trait (Hb Sβ+ thalassemia) who developed liver cirrhosis being negative for hepatitis C and B viruses or for other causes of cirrhosis and not receiving chronic blood transfusions.http://www.karger.com/Article/FullText/235235Liver cirrhosisSickle cell diseaseSickle cell traitIron overload
spellingShingle Luca Santi
Giancarlo Montanari
Sonia Berardi
Corrado Patti
Marta Frigerio
Claudia Sama
Paolo Caraceni
Mauro Bernardi
Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease
Case Reports in Gastroenterology
Liver cirrhosis
Sickle cell disease
Sickle cell trait
Iron overload
title Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease
title_full Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease
title_fullStr Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease
title_full_unstemmed Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease
title_short Liver Cirrhosis in a Patient with Sickle Cell Trait (Hb Sβ+ Thalassemia) without Other Known Causes of Hepatic Disease
title_sort liver cirrhosis in a patient with sickle cell trait hb sβ thalassemia without other known causes of hepatic disease
topic Liver cirrhosis
Sickle cell disease
Sickle cell trait
Iron overload
url http://www.karger.com/Article/FullText/235235
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