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Hematology 2006
© 2006 The American Society of Hematology

Red Cell Exchange in Sickle Cell Disease

Paul S. Swerdlow

Correspondence: Paul Swerdlow, MD, Wayne State University, Barbara Ann Karmanos Cancer Inst., 4100 John R 4HW-CRC, Detroit MI 48201; Phone 313-576-8730; Fax 313-576-8767; Email swerdlow{at}karmanos.org

Abstract

Red cell exchange transfusions remain an effective but possibly underutilized therapy in the acute and chronic treatment of sickle cell disease. In sickle cell disease, increased blood viscosity can cause complications when the hemoglobin exceeds 10 g/dL even if this is due to simple transfusion. Red cell exchange can provide needed oxygen carrying capacity while reducing the overall viscosity of blood. Acute red cell exchange is useful in acute infarctive stroke, in acute chest and the multi-organ failure syndromes, the right upper quadrant syndrome, and possibly priapism. Neither simple or exchange transfusions are likely to hasten resolution of an acute pain episode.


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Copyright © 2006 by the American Society of Hematology.