The red cell distribution width in sickle cell disease--is it of clinical value?

The red cell distribution width (RDW) has been studied during the clinical steady state in 1121 patients with homozygous sickle cell (SS) disease, 344 with sickle cell-haemoglobin C (SC) disease, 68 with sickle cell-beta+ thalassaemia, 49 with sickle cell beta 0 thalassaemia and in 130 control subje...

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Glavni autori: Thame, M, Grandison, Y, Mason, K, Thompson, M, Higgs, D, Morris, J, Serjeant, B, Serjeant, G
Format: Journal article
Jezik:English
Izdano: 1991
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author Thame, M
Grandison, Y
Mason, K
Thompson, M
Higgs, D
Morris, J
Serjeant, B
Serjeant, G
author_facet Thame, M
Grandison, Y
Mason, K
Thompson, M
Higgs, D
Morris, J
Serjeant, B
Serjeant, G
author_sort Thame, M
collection OXFORD
description The red cell distribution width (RDW) has been studied during the clinical steady state in 1121 patients with homozygous sickle cell (SS) disease, 344 with sickle cell-haemoglobin C (SC) disease, 68 with sickle cell-beta+ thalassaemia, 49 with sickle cell beta 0 thalassaemia and in 130 control subjects with a normal (AA) genotype. The mean RDW was moderately increased in S beta + thalassaemia and SC disease and markedly increased in S beta 0 thalassaemia and SS disease. In SS, SC and S beta 0 thalassaemia genotypes, lower RDW values occurred in females and with alpha thalassaemia. The RDW correlated negatively with total haemoglobin, mean cell haemoglobin concentration, mean cell volume, and fetal haemoglobin (HbF) and positively with reticulocyte count in SS disease. A low RDW was associated with higher weight and less frequent dactylitis, painful crisis, acute chest syndrome, acute splenic sequestration, and hospital admissions. A low RDW in SS disease is consistent with a high total haemoglobin, high HbF, low reticulocyte count, alpha thalassaemia, and a more mild clinical course.
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spelling oxford-uuid:b7cf6c43-5166-483e-a226-3759d760c89f2022-03-27T04:51:19ZThe red cell distribution width in sickle cell disease--is it of clinical value?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b7cf6c43-5166-483e-a226-3759d760c89fEnglishSymplectic Elements at Oxford1991Thame, MGrandison, YMason, KThompson, MHiggs, DMorris, JSerjeant, BSerjeant, GThe red cell distribution width (RDW) has been studied during the clinical steady state in 1121 patients with homozygous sickle cell (SS) disease, 344 with sickle cell-haemoglobin C (SC) disease, 68 with sickle cell-beta+ thalassaemia, 49 with sickle cell beta 0 thalassaemia and in 130 control subjects with a normal (AA) genotype. The mean RDW was moderately increased in S beta + thalassaemia and SC disease and markedly increased in S beta 0 thalassaemia and SS disease. In SS, SC and S beta 0 thalassaemia genotypes, lower RDW values occurred in females and with alpha thalassaemia. The RDW correlated negatively with total haemoglobin, mean cell haemoglobin concentration, mean cell volume, and fetal haemoglobin (HbF) and positively with reticulocyte count in SS disease. A low RDW was associated with higher weight and less frequent dactylitis, painful crisis, acute chest syndrome, acute splenic sequestration, and hospital admissions. A low RDW in SS disease is consistent with a high total haemoglobin, high HbF, low reticulocyte count, alpha thalassaemia, and a more mild clinical course.
spellingShingle Thame, M
Grandison, Y
Mason, K
Thompson, M
Higgs, D
Morris, J
Serjeant, B
Serjeant, G
The red cell distribution width in sickle cell disease--is it of clinical value?
title The red cell distribution width in sickle cell disease--is it of clinical value?
title_full The red cell distribution width in sickle cell disease--is it of clinical value?
title_fullStr The red cell distribution width in sickle cell disease--is it of clinical value?
title_full_unstemmed The red cell distribution width in sickle cell disease--is it of clinical value?
title_short The red cell distribution width in sickle cell disease--is it of clinical value?
title_sort red cell distribution width in sickle cell disease is it of clinical value
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