VASO-OKLUSİV KRİZ ORAK HÜCRELİ ANEMİDE HEMATOLOJİK PARAMETRELERİ NASIL DEĞİŞTİRİR?
Aim: To compare hematological parameters between children with steady-state sickle cell disease (SCD) and those with vaso-occlusive crisis. Materials and methods: Forty-seven patients (under 18 years of age) , 23 in the steady state and 24 in crisis were in this study. Control group included 24 age-matched children without chronic disease. Hematological parameters were recorded. Complete blood counts were measured by automated analyzer. Results: In crisis group, white blood cells (WBC), red cell distribution width (RDW), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), platelet (PLT), neutrophil and monocytes mean values (17045 /mm3, 21.62 %, 28.12 pg, 34.96 gr/dl, 432 x 109/L, 10858 /mm3, 1676 /mm3) were higher than control (7429 /mm3, 14.66 %, 26.49 pg, 33.65 gr/dl, 288 x 109/L, 3883 /mm3, 508 /mm3), (p<0.05). Red blood cell (RBC), hemoglobin (HGB), hematocrit (HCT) and mean platelet volume (MPV) levels (2.98 x106 /mm3, 8.35 gr/dl, 23.64 %, 9.46 fL) in crisis group were lower than control (4.75 x 106/mm3, 12.62 gr /dl, 37.49 %, 10.16 fL), (p <0.05). In steady-state group, RBC, HGB, HCT and MPV levels (3.19 x 106/mm3, 8.49 gr /dl, 24.77 %, 10.16 fL) were lower than control (4.75 x 106/mm3, 12.62 gr/dl, 37.49 %, 10.16 fL) (p<0.05). In steady-state group, WBC, RDW, neutrophils, lymphocytes and monocytes values (12924 /mm3, 21.37%, 10150 /mm3, 3985 /mm3, 1240 /mm) were higher than control (7429/mm3, 14.66%, 3883 /mm3, 2691 /mm3, 508 /mm3), (p<0.05). Conclusion: MCH, MCHC and PLT counts can be superior diagnostic markers for vaso-occlusive crisis
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