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...
Glavni autori: | , , , , , , , |
---|---|
Format: | Journal article |
Jezik: | English |
Izdano: |
1991
|
_version_ | 1826292925839966208 |
---|---|
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. |
first_indexed | 2024-03-07T03:22:12Z |
format | Journal article |
id | oxford-uuid:b7cf6c43-5166-483e-a226-3759d760c89f |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T03:22:12Z |
publishDate | 1991 |
record_format | dspace |
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 |
work_keys_str_mv | AT thamem theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT grandisony theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT masonk theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT thompsonm theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT higgsd theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT morrisj theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT serjeantb theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT serjeantg theredcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT thamem redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT grandisony redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT masonk redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT thompsonm redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT higgsd redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT morrisj redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT serjeantb redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue AT serjeantg redcelldistributionwidthinsicklecelldiseaseisitofclinicalvalue |