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Acute phase reactants and severity of homozygous sickle cell disease
Author(s) -
HEDO C. C.,
AKEN'OVA Y. A.,
OKPALA I. E.,
DUROJAIYE A. O.,
SALIMONU L. S.
Publication year - 1993
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1993.tb01000.x
Subject(s) - medicine , sickle cell anemia , disease , hemoglobinopathy , intensive care medicine
. Serum concentrations of seven acute‐phase reactants: albumin, transferrin (Tf), alpha‐1‐antitrypsin (AIAT), caeruloplasmin (Cp), α 2‐macroglobulin ( α 2‐MG), haptoglobin (hp) and C‐reactive protein (CRP) were determined in 73 subjects with varying severities of homozygous sickle cell (HbSS) disease. Fifty healthy subjects of comparable sex, age and socio‐economic class distributions as the HbSS subjects served as controls. Albumin and α 2‐MG were comparable in all the subject groups. Tf and hp levels were significantly reduced in the HbSS groups relative to the control group. Conversely, AIAT, CRP and CP were significantly elevated. However only Tf and CRP manifested significant correlations with any of the indices of disease severity employed. Transferrin and CRP are suggested as plasma proteins worthy of further evaluation as indicators of severity in homozygous sickle cell disease.