Serial changes in coagulation and viscosity during sickle-cell crisis.

Abstract:

:Coagulation activity and whole-blood viscosity were measured in the steady state, and serially during painful crisis, in eight patients with sickle-cell anaemia. Platelet and coagulation activation occurred in the steady state and became more pronounced early in crisis. Whole-blood viscosity increased during crisis in parallel with plasma fibrinogen. Similar changes were found in a parallel study of 20 patients with localized bacterial or viral infection who did not have sickle-cell anaemia. Reports of platelet activation, hypercoagulability, and hyperviscosity during painful crisis therefore reflect secondary changes arising from vascular stasis, precipitating infection, and an acute-phase protein reaction. Although secondary, these changes may contribute to vascular occlusion by an additive effect in vessels already partially occluded by sickled cells.

journal_name

Br J Haematol

authors

Richardson SG,Matthews KB,Stuart J,Geddes AM,Wilcox RM

doi

10.1111/j.1365-2141.1979.tb03685.x

subject

Has Abstract

pub_date

1979-01-01 00:00:00

pages

95-103

issue

1

eissn

0007-1048

issn

1365-2141

journal_volume

41

pub_type

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