{"id":14964,"date":"2020-08-20T09:00:57","date_gmt":"2020-08-20T13:00:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=14964"},"modified":"2021-04-16T15:14:15","modified_gmt":"2021-04-16T19:14:15","slug":"sickle-cell-disease","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/sickle-cell-disease\/","title":{"rendered":"What is sickle cell disease (and how is it treated)?"},"content":{"rendered":"<p><a href=\"https:\/\/ghr.nlm.nih.gov\/condition\/sickle-cell-disease\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Sickle cell disease<\/span><\/a><span style=\"font-weight: 400;\"> (SCD) is a group of inherited blood disorders that affect the red blood cells, specifically a molecule in these cells called hemoglobin that delivers oxygen to cells throughout the body. According to the <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/sicklecell\/data.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Centers for Disease Control and Prevention<\/span><\/a><span style=\"font-weight: 400;\"> (CDC), the condition affects millions of people around the world, including an estimated 100,000 people in the United States.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How do you get sickle cell disease?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">For a person to have sickle cell disease, both parents must pass the defective form of the hemoglobin gene to their child. If only one parent passes the gene, the child will inherit the sickle cell trait. This means their blood may have some sickle cells, but they don\u2019t normally get ill.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sickle cell patients have distorted hemoglobin molecules that stretch red blood cells into a sickle, or crescent, shape. These cells are rigid, and their membrane is damaged and easily destroyed. While a normal red blood cell lives in the body\u2019s circulation for 120 days, sickle cells live around 18 or 19 days. Sickle cells block small blood vessels (capillaries), which slows blood flow to different organs and may cause long-term organ damage.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAlthough the primary abnormality lies within the red cell, sickle cell disease becomes a multisystem disease,\u201d says <\/span><a href=\"https:\/\/www.augusta.edu\/mcg\/medicine\/hemonc\/people\/kutlar.php\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Abdullah Kutlar, MD<\/span><\/a><span style=\"font-weight: 400;\">, adult hematologist and director of the Sickle Cell Center at Augusta University. \u201cThe clinical complications affect all organs in the body from head to toe. It&#8217;s associated with stroke, affects the eyes, lungs, spleen, and bones.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sickle cell disease mostly affects people whose ancestors came from sub-Saharan Africa, Spanish-speaking regions of the Western Hemisphere (South America, the Caribbean, and Central America), India, and some Middle Eastern and Mediterranean countries. Sickle cell disease happens more often in people from parts of the world where malaria is common\u2014either today or in the past. People who carry the sickle cell trait have a better chance of survival against malaria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sickle cell disease happens in 1 out of every 365 African American births; around 1 in 13 Black babies in the U.S. is born with the sickle cell trait.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/minority-health-questions-to-ask-a-doctor-bipoc\/\"><b>9 questions to ask a doctor if you\u2019re Black, indigenous, or a person of color<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Types of sickle cell disease<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sickle cell disease is a broad term that includes many different forms of the condition. These are the most common types of SCD:<\/span><\/p>\n<ul>\n<li><b>Sickle cell anemia (HbSS): <span style=\"font-weight: 400;\">People with this form of SCD inherit one sickle cell gene from each parent. Sickle cell anemia is usually the most serious form of sickle cell disease.<\/span><\/b><\/li>\n<li><b>Sickle hemoglobin C disease (HbSC): <span style=\"font-weight: 400;\">With this type of SCD, one sickle cell gene is inherited from one parent, and from the other, a gene for an abnormal hemoglobin called \u201cC.\u201d It\u2019s usually a milder form of SCD.<\/span><\/b><\/li>\n<li><b>Sickle beta thalassemia (HbS beta thalassemia): <span style=\"font-weight: 400;\">People who have this form of SCD inherit one sickle cell gene from one parent and one gene for beta thalassemia (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anemia-treatment-and-medications\"><span style=\"font-weight: 400;\">a type of anemia<\/span><\/a><span style=\"font-weight: 400;\">) from the other parent. There are two types of beta thalassemia: \u201c0\u201d and \u201c+\u201d. Hbs beta 0-thalassemia is the more severe type of sickle cell disease, while Hbs beta + is milder.<\/span><\/b><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Symptoms of sickle cell disease<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">People with sickle cell disease usually start to show signs of the condition when they\u2019re young, around 5 months old. Babies younger than this age don\u2019t show symptoms because fetal hemoglobin protects their red blood cells from sickling. As they get older, sickle hemoglobin replaces the fetal type.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms and complications of SCD are different for each person and can vary from mild to severe. The most common complication of sickle cell disease is severe pain, called pain episodes or pain crises, which can range from mild to severe. It happens when sickle cells travel through small blood vessels, get stuck, and block blood flow. This is called sickle cell crisis and it is the most common cause of hospital admissions among SCD patients. Other complications include:<\/span><\/p>\n<ul>\n<li><b>Hand-foot syndrome: <\/b><span style=\"font-weight: 400;\">This swelling in the hands and feet is normally the first symptom of SCD.<\/span><\/li>\n<li><b>Anemia: <span style=\"font-weight: 400;\">A lack of healthy red blood cells to carry oxygen causes severe anemia where people with SCD will feel tired, dizzy or lightheaded, and have difficulty breathing in severe cases.<\/span><\/b><\/li>\n<li><strong>Infection<\/strong>: <span style=\"font-weight: 400;\">People with SCD, especially young children, are at an increased risk of infection because of damage to the spleen.<\/span><\/li>\n<li><strong>Acute chest syndrome<\/strong>: <span style=\"font-weight: 400;\">This condition looks and feels similar to pneumonia with chest pain, cough, trouble breathing, and fever. It can be life-threatening.\u00a0<\/span><\/li>\n<li><strong>Splenic sequestration<\/strong>: <span style=\"font-weight: 400;\">This life-threatening condition happens when a large number of sickle cells get trapped in the spleen and cause it to enlarge.<\/span><\/li>\n<li><strong>Leg ulcers<\/strong>: <span style=\"font-weight: 400;\">Trauma, infection, inflammation, and poor circulation in blood vessels cause ulcers in the lower part of the leg.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">How is sickle cell disease diagnosed?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A blood test is the only way to diagnose sickle cell disease or to find out if someone carries the sickle cell gene that they could pass to a child.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A healthcare provider will draw blood from an arm vein in adults, and a finger or heel in babies and young children. In the U.S., newborns are routinely screened for sickle cell disease. After blood is drawn, a lab then screens the sample for defective hemoglobin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many times, people who are found to carry the sickle cell gene are then referred to a genetic counselor who helps patients and their families understand genetic information and how it affects their medical care or managing their condition.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Can sickle cell be cured?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Living with sickle cell disease can be challenging, but it\u2019s still possible to have a full and healthy life. Over the past 20 to 30 years, medical research, care, and education about sickle cell disease have helped to improve the outlook for people with this condition.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The number of SCD deaths in younger people has <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajh.21676\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">dropped significantly<\/span><\/a><span style=\"font-weight: 400;\"> over the past several decades, from 9.3% in 1975 to <\/span><a href=\"https:\/\/pediatrics.aappublications.org\/content\/84\/3\/500\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">2.6% by 1989<\/span><\/a><span style=\"font-weight: 400;\">. A <\/span><a href=\"https:\/\/www.jpeds.com\/article\/S0022-3476(08)00861-5\/fulltext\"><span style=\"font-weight: 400;\">more recent study<\/span><\/a><span style=\"font-weight: 400;\"> shows the number of deaths in African American children dropping by as much as 68% over a 16-year period. Researchers credit the decrease to a pneumococcal vaccine released in 2000. People with SCD are less protected from serious and deadly diseases like pneumonia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even though children with sickle cell disease are living longer, the condition is still linked to a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3560868\/\"><span style=\"font-weight: 400;\">shorter life span in adults<\/span><\/a><span style=\"font-weight: 400;\">. Research shows the average life expectancy is 42 years for women and 38 years for men.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While pediatric care has accelerated with new treatment centers and active practitioners, adult patients still face gaps in the healthcare system.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAfter a person with sickle cell reaches 18 or 19 years old, they have to leave the pediatric space, and unfortunately it\u2019s the point where some people fall off the cliff,\u201d says Barbara Harrison, genetic counselor and director of Community Outreach and Education for <\/span><a href=\"http:\/\/huhealthcare.com\/healthcare\/hospital\/specialty-services\/sickle-cell-disease-center\/faculty-staff\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Center for Sickle Cell Disease<\/span><\/a><span style=\"font-weight: 400;\"> at Howard University Hospital. \u201cThere are not enough qualified, knowledgeable hematologists who are trained in sickle cell disease and are familiar with the complications in adults.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another challenge: research funding. Sickle cell disease is one of the most common life-threatening genetic diseases in the U.S. Still, it receives<\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2763606?\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\"> significantly less research funding<\/span><\/a><span style=\"font-weight: 400;\"> than other genetic disorders like cystic fibrosis, a disparity some blame on systemic racism in healthcare. \u201cThe molecular and genetic basis for sickle cell disease was one of the first discovered in human diseases, yet, we&#8217;re quite far behind as far as treatments and the strides that have been taken to help cure the condition,\u201d Harrison says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Right now, a stem cell transplant (also called a bone marrow transplantation) is the only cure for sickle cell disease. During this procedure, doctors infuse healthy cells (stem cells) into the body to replace damaged or diseased bone marrow. The body makes blood cells in bone marrow at the center of the bone. More often, doctors are using blood and bone marrow transplants from healthy donors to cure SCD, but patients need a donor from someone with similar bone marrow. Transplants can also sometimes cause serious side effects and even death, and they\u2019re not widely available outside of the U.S. and Europe.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another possible cure on the horizon is <\/span><a href=\"https:\/\/www.nhlbi.nih.gov\/news\/2019\/gene-therapy-sickle-cell-disease-patients-story\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">gene therapy<\/span><\/a><span style=\"font-weight: 400;\">. It involves removing stem cells that form blood and immune cells from the bone marrow or blood and adding a gene that\u2019s flawed in people with sickle cell disease. Doctors then return the cells to the patient, which leads to the body producing anti-sickling hemoglobin. Researchers are still conducting clinical trials, but initial results look promising.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For now, effective medication is critical. \u201cWe need more therapies while we&#8217;re working on high-tech, high-resource therapies such as STEM cell transplant and gene therapy,\u201d Dr. Kutlar says.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Sickle cell treatments<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The first step to living a longer life with SCD is finding quality medical care from experts in the condition. Then, the medication that\u2019s right for your specific symptoms.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Hydroxyurea<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The standard treatment for sickle cell disease is <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/hydroxyurea\"><span style=\"font-weight: 400;\">hydroxyurea<\/span><\/a><span style=\"font-weight: 400;\">, a medication that healthcare providers first used to treat cancer. People with SCD take a smaller dose, and it boosts fetal hemoglobin while blocking many complications of the condition\u2014lowering sickle cell crises, trips to the hospital, pneumonia events, and the need for blood transfusions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In recent years, pharmaceutical companies have become more interested in developing new treatments for sickle cell disease. This is due, in part, to a lack of therapies, and because sickle cell disease is a model for treating other conditions like inflammation and diseases of the blood vessels.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Endari (L-glutamine oral powder)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Since 2017, the <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-treatment-sickle-cell-disease\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">U.S. Food and Drug Administration<\/span><\/a><span style=\"font-weight: 400;\"> (FDA) approved a new treatment for sickle cell disease, the first one in decades. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/endari\"><span style=\"font-weight: 400;\">Endari<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/l-glutamine\"><span style=\"font-weight: 400;\">L-glutamine oral powder<\/span><\/a><span style=\"font-weight: 400;\">) is for people with SCD who are 5 years and older. The drug, a powder that is taken orally, works as an antioxidant to ease serious complications linked to the condition. Researchers have found that people who take Endari have fewer sickle cell crises and trips to the hospital, as well as shorter hospital stays.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Oxbryta (voxelotor)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In 2019, the FDA fast-tracked approval for <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/new-drugs-2020\/\"><span style=\"font-weight: 400;\">Oxbryta<\/span><\/a><span style=\"font-weight: 400;\"> (voxelotor), the first drug to treat the causes of sickle cell anemia instead of just its symptoms. \u201cWith Oxbryta, sickle cells are less likely to bind together and form the sickle shape, which can cause low hemoglobin levels due to red blood cell destruction,\u201d Richard Pazdur, MD, director of the FDA&#8217;s Oncology Center of Excellence (OCE) said in a <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-novel-treatment-target-abnormality-sickle-cell-disease\"><span style=\"font-weight: 400;\">news release announcing the treatment<\/span><\/a><span style=\"font-weight: 400;\">. \u201cThis therapy provides a new treatment option for patients with this serious and life-threatening condition.\u201d Oxbryta is for children and adults 12 years and older.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Adakveo (crizanlizumab-tmca)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The FDA <\/span><a href=\"https:\/\/www.fda.gov\/drugs\/resources-information-approved-drugs\/fda-approves-crizanlizumab-tmca-sickle-cell-disease\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">approved another drug in late 2019<\/span><\/a><span style=\"font-weight: 400;\">, Adakveo (crizanlizumab-tmca), which lowers the number of sickle cell crises in adults and children over the age of 16. The medication is an injection, which people with SCD receive in intervals, every two weeks at first and then tapering off to once a month.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Augusta University\u2019s Sickle Cell Center was part of a nationwide trial for this treatment, and Dr. Kutlar says the reaction from patients was overwhelmingly positive. \u201cAfter the study finished, a few patients came to us and said, \u2018I was feeling so much better when I was getting those infusions. Is there any way you can put me back on this?\u2019 So, in a nutshell, that was a positive experience from the patient perspective.\u201d<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th><strong><span class=\"title\">Sickle cell disease treatments<\/span><\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Drug class<\/b><\/td>\n<td><b>Administration route<\/b><\/td>\n<td><b>Standard dosage<\/b><\/td>\n<td><b>Side effects<\/b><\/td>\n<td><b>Get coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hydroxyurea (Droxia, Hydrea, Siklos)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antimetabolite<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Oral<\/span><\/td>\n<td><span style=\"font-weight: 400;\">One 200-400 mg capsule per day<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Dizziness, drowsiness, stomach pain, constipation, diarrhea, nausea, vomiting, and loss of appetite<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/hydroxyurea\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">L-glutamine oral powder (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/endari\"><span style=\"font-weight: 400;\">Endari<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Amino acid<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Oral<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10-30 grams twice per day mixed into food or drink<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Constipation, nausea, headache, abdominal pain, cough, pain in extremity, back pain, and chest pain<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/l-glutamine\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Voxelotor (Oxbryta)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Hemoglobin oxygen-affinity modulator<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Oral<\/span><\/td>\n<td><span style=\"font-weight: 400;\">One 1,500 mg tablet per day taken with or without food<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Headache, diarrhea, abdominal pain, nausea, tiredness, rash, and fever<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/oxbryta\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Crizanlizumab-tmca (Adakveo)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">P-selectin inhibitor<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Injection<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5 mg injections at weeks 0 and 2, and then every 4 weeks<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nausea, joint pain, back pain, and fever<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.hcp.novartis.com\/products\/adakveo\/sickle-cell-disease\/\">Learn more<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">People with sickle cell disease also take over-the-counter or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-toradol\/\"><span style=\"font-weight: 400;\">prescription medication for chronic pain<\/span><\/a><span style=\"font-weight: 400;\"> and may need <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/blood-donation\/\"><span style=\"font-weight: 400;\">blood transfusions<\/span><\/a><span style=\"font-weight: 400;\"> to treat complications like anemia or infections.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Sickle cell resources<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The United States Congress has designated September as National Sickle Cell Awareness Month to help bring awareness to research and treatment of sickle cell disease. To learn more about this condition, visit:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"http:\/\/www.sicklecelldisease.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Sickle Cell Disease Association of America<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"http:\/\/www.scdcoalition.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Sickle Cell Disease Coalition<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/fscdr.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The Foundation for Sickle Cell Disease Research<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"http:\/\/www.scdfc.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Sickle Cell Disease Foundation<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.sicklecellsociety.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Sickle Cell Society<\/span><\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Sickle cell disease (SCD) is a group of inherited blood disorders that affect the red blood cells, specifically a molecule in these cells called hemoglobin that delivers oxygen to cells throughout the body. According to the Centers for Disease Control and Prevention (CDC), the condition affects millions of people around the world, including an estimated [&hellip;]<\/p>\n","protected":false},"author":93,"featured_media":15000,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[790],"coauthors":[19099],"class_list":["post-14964","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-chronic-disease","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What is sickle cell disease (and how is it treated)?<\/title>\n<meta name=\"description\" content=\"Sickle cell disease is a group of inherited blood disorders that affects millions of people. 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