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Sickle cell anemia Hemolytic anemia
Sickle cell anemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pathology
Clinical features: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Frontal Bossing X-ray: ‘Hair-on-end’ skull Chronic leg ulcer
 
Diagnosis: ,[object Object],Sickle cells Normal RBC
2. Hb electrophoresis –  Identification & quantification of HbS (80% Hbs, absence of HbA; HbF & HbA 2  variably increased)
 
[object Object],[object Object],[object Object],[object Object]
Complications: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],*Gamna Gandy nodules /  siderotic nodules /  fibrosiderotic nodules
An enlarged spleen due to splenic sequestration crisis in a patient with sickle anemia
Sickle cells are seen in splenic red pulp in a case of splenic sequestration crisis.
Kidney: Hemosidrin deposit LIVER: HEMOSIDEROSIS Hemosiderin deposits
Alloimmune/ Isoimmune: 1) Hemolytic Transfusion Reaction  2) Hemolytic Disease of the Newborn Hemolytic anemia RBCs are lysed as a result of the action of antibodies of another individual
Hemolytic Transfusion Anemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemolytic Disease of the Newborn ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemostatic disorders
Normal vascular system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vascular defects ,[object Object],[object Object],[object Object],[object Object]
Henoch-Schönlein purpura ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hereditary hemorrhagic telangiectasia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Platelets ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Idiopathic Thrombocytopenic Purpura (ITP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical features & Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Disorder of blood coagulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factor VIII Def. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hemophilia A ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Von Willebrand’s Ds. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factor IX Def. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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