Sickle-Cell Anemia

Abstract
Sickle-cell anemia is a chronic hemolytic anemia affecting persons of Negro descent who have inherited a gene from both parents1 that controls the formation of an abnormal hemoglobin (hemoglobin S). This differs from normal hemoglobin (hemoglobin A) in amino-acid composition,2 electrophoretic mobility,3 solubility,4 and affinity for oxygen.5 When deprived of oxygen, hemoglobin S undergoes molecular rearrangement,3 and the erythrocytes become altered in shape. The diagnosis of sickle-cell anemia is established by: In sickle-cell anemia

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