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PubMed1974

Sickle cell trait.

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Anemia, Sickle Cell↗
PubMed1982

Haematuria associated with ureaplasma infection in sickle-cell trait.

Phase-contrast microscopy of the urine of a young Greek woman with macroscopic haematuria showed sickling of the red blood cells. The diagnosis of sickle-cell trait was confirmed with haemoglobin electrophoresis, and an intravenous pyelogram demonstrated the typical medullary cavities seen in this disease. Urine collected from the left ureter, from which the haematuria originated, grew 10(6) Ureaplasma urealyticum/ml. With Doxycycline therapy the macroscopic haematuria and the sickled cells in the urine resolved, but red cell casts and an excessive number of glomerular red blood cells persisted in the urine, confirming the presence of glomerulonephritis. Ureaplasma urealyticum has not previously been described in association with a sickling episode nor with the scarring of a sickle cell kidney. The possible role of this infection is discussed.

Adult↗
PubMed2002

Alactic anaerobic performance in subjects with sickle cell trait and hemoglobin AA.

The aim of the present study was to assess the performance of subjects with sickle cell trait (SCT) during brief and explosive exercise involving mainly anaerobic metabolism. One hundred and ninety-six black subjects underwent SCT screening, which revealed the presence of 16 subjects with SCT and 180 subjects with normal hemoglobin (HbAA). All subjects performed four tests: 1) a 100-m sprint, 2) a long-jump, 3) a Leger-Boucher shuttle test and 4) a jump-and-reach test. A control group (n = 18) selected from the 180 subjects with HbAA was matched according to the sex, age, weight and height of the SCT subjects (SCTs). The performances of the SCTs (n = 16) were compared with those of the control group. The performances were similar between the SCTs and control group for the sprint test, long-jump and the Leger-Boucher shuttle test. There was, however, a significant difference for the jump-and-reach test between the two groups: the SCTs (i. e., males plus females, and males and females considered separately) reached a significantly greater height (p < 0.05) than the matched subjects of the control group (63.7 +/- 3.6 vs. 58.6 +/- 3.1 cm, 72.3 +/- 3.9 vs. 67.1 +/- 2.4 cm and 52.7 +/- 3.2 vs. 45.3 +/- 2.0 cm for SCTs versus non-SCTs, for the group, the males and the females, respectively). The results of the present study suggest that the performance of brief and explosive exercise may be enhanced by HbS.

Adult↗
PubMed1995

Renal medullary carcinoma associated with sickle cell trait: radiologic findings.

PURPOSE: To correlate the radiologic and pathologic findings in patients with renal medullary carcinoma and sickle cell trait. MATERIALS AND METHODS: Radiologic studies of five pathologically proved cases of renal medullary carcinoma were retrospectively correlated with gross pathologic findings. Excretory urograms, computed tomographic (CT) scans, sonograms, photographs of the gross surgical specimens, and an angiogram were available for review. Each case was analyzed for tumor location, pattern of growth, contrast enhancement and echotexture, angiographic pattern, and stage. RESULTS: All tumors arose centrally within the kidney, grew in an infiltrative pattern, and invaded the renal sinus. Caliectasis without pelviectasis was present in three cases. Contrast enhancement and echotexture were heterogeneous in all patients. Tumor necrosis with communication into the collecting system occurred in one patient. The one available angiogram demonstrated hypovascularity. CONCLUSION: Patients with renal medullary carcinoma share particular demographic, clinical, and radiologic features that might enable radiologists to suggest a specific diagnosis.

Adolescent↗
PubMed1977

Exertion-induced rhabdomyolysis with acute renal failure and disseminated intravascular coagulation in sickle cell trait.

From 1970 to 1974, among thousands of trainees seen at two large military installations who were subjected to the same physical and environmental stresses, only four recruits were hospitalized because of acute exertional rhabdomyolysis, renal failure and coagulopathy. The illness followed the performance of vigorous exercise. These four patients had sickle cell trait. In an attempt to explain this association, the data in these four cases are summarized. The hypothesis is then developed that rhabdomyolysis and endothelial damage, terminating in severe coagulopathy, may more likely occur in patients with sickle cell trait who are subjected to virorous physical exertion.

Acute Kidney Injury↗
PubMed2005

Nutritional iron status in children with alpha+ thalassemia and the sickle cell trait in a malaria endemic area on the coast of Kenya.

Although hemoglobinopathies such as alpha+ thalassemia and the sickle cell trait might contribute to anemia in African children, we hypothesized that they might also enhance iron absorption under circumstances of critical availability, and that this could attenuate their hematologic effects. We found no support for this hypothesis in a cohort of children living on the coast of Kenya.

Anemia, Iron-Deficiency↗
PubMed1994

Sickle cell trait performance in a prolonged race at high altitude.

The limitation of aerobic exercise capacity of athletes with the sickle cell trait (SCT), under conditions of limited oxygen availability, is still controversial. To study this, we took advantage of an unique setting, the International Mount Cameroon Ascent Race, a 34.1-km race over difficult terrain, slopes ranging from 7 to 40%, and altitudes varying from 615 to 4095 m, combined with high prevalence rates of SCT among the African runners. Of 266 Cameroonian runners, SCT was detected in 33 athletes (12.4%), a prevalence similar to that of the ethnically corrected general population. However, in runners of the Bakoueri tribe whose performance is contingent with social stature, SCT was present in only 1 of 41 runners (2.4%), as compared with 15.6% in the general population of the Bakoueri tribe (P < 0.03). In general, performance times of SCT runners were not different from non-SCT runners, except during the portion of the race at altitudes ranging from 3800 to 4095 m, where significantly longer times were clocked by SCT subjects (P < 0.02). We conclude that prolonged aerobic efforts in hypobaric hypoxic conditions may be associated with a detrimental effect on performance in SCT carriers. If this is true, it might account for the reduced prevalence of SCT among those runners representing the Bakoueri tribe, provided an objective measure of performance at altitude was employed to select these representatives.

Altitude↗
PubMed1995

Lactate exchange and removal abilities in sickle cell trait carriers during and after incremental exercise.

Arterial blood lactate concentrations and pH were measured on seven black male sickle cell trait (SCT) carriers before, during and after incremental exhaustive bicycle exercise (25 W increments per minute) and compared with those of six control individuals of the same ethnic origin having a similar physical fitness level. The object of the experiment was to determine if SCT has an effect on lactate kinetics. At volitional exhaustion which was reached at a comparable overall mean absolute work rate for both groups, oxygen consumption expressed per kilogram body mass was significantly lower for the SCT carriers than for the control volunteers. Lactate concentrations were higher for the SCT carriers after the 150 W exercise step but differences reached statistical significance only at exhaustion. Concentrations were distinctly higher for the SCT group during the following 40 minutes of recovery. While there were no observable differences in blood pH between the SCT and control subjects during the exercise, this variable became significantly lower for the SCT than for the control group 8 minutes after the end of exercise. Lactate recovery curves were fitted by a biexponential time function where the two velocity constants inform on the body's overall ability to exchange and remove lactate. The ability to remove lactate was comparable for the two groups. The present results do not warrant drawing a definite conclusion on impairment of the ability to exchange lactate in the presence of SCT. However, SCT carriers are likely to produce more lactate than control subjects reaching exhaustion at similar mean absolute work rate during exhaustive incremental bicycle exercise.

Adult↗