Table 1.

Factors that culminate in vaso-occlusion in patients with sickle cell disease.

Factors intrinsic to red blood cells (RBCs)
  • Sickle hemoglobin polymerization

  • Rheology of sickle RBCs

    • Cellular dehydration

    • RBC deformability and mechanical fragility

    • Dense cells

 
Factors extrinsic to red blood cells
  • Whole blood viscosity

  • White blood cell factors

  • Endothelial factors

    • Adhesion of sickle RBCs to endothelium

    • Intimal hyperplasia

  • Hemostatic factors

  • Vascular factors

 
Factors intrinsic to red blood cells (RBCs)
  • Sickle hemoglobin polymerization

  • Rheology of sickle RBCs

    • Cellular dehydration

    • RBC deformability and mechanical fragility

    • Dense cells

 
Factors extrinsic to red blood cells
  • Whole blood viscosity

  • White blood cell factors

  • Endothelial factors

    • Adhesion of sickle RBCs to endothelium

    • Intimal hyperplasia

  • Hemostatic factors

  • Vascular factors

 
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