Demographic and clinical data of octogenarians with sickle cell disease
. | Patient A . | Patient B . | Patient C . | Patient D . |
---|---|---|---|---|
Age/sex | 82/F | 86/F | 82/F | 82/F |
Ancestry | African American | Italian American | African American | African Brazilian |
Obstetrical history* | G3P1A2 | G2P1A1 | G5P5 | G2P2 |
Diagnosis | SS | SS | Hb SC disease | Hb SC disease |
VOCs/y | 1-2 | 0-1 | 0-3 | 0-1 |
Cerebrovascular accident | No | No | No | No |
Retinopathy | Yes | Yes | No | No |
Cataracts | Yes | Yes, OU | No | Yes, OS |
Deafness | No | No | No | Yes, left ear |
ACS | No | No | No | Yes |
Congestive heart failure | Yes | Yes | No | No |
Hypertension | Yes | No | Yes | Yes |
Avascular necrosis | Yes + right hip replacement | Yes + replacement of both hips and right knee | No | No |
Leg ulcer | Yes | Yes | No | No |
Splenomegaly | No | No | Yes | Yes |
Cholecystectomy | Yes | No | Yes | No |
Infection | Tuberculosis, pneumonia | Urinary tract infection | Clostridium difficile colitis | Tuberculosis |
Transfusion | Frequent | Occasional | Occasional | Frequent |
Iron overload | Yes | No | No | Yes |
Comorbidity | Complete heart block, glaucoma OU, mild Parkinson disease | Paroxysmal AFIB, IBS, MVP, osteoporosis | Osteoma of mandible, depression | Diabetes mellitus type 2 |
Smoking | No | No | No | No |
Alcohol | No | Occasional | No | Occasional |
Body mass index | 21.6 | 20.4 | 24.8 | 23.1 |
Compliance | Excellent | Excellent | Excellent | Excellent |
Family support | Excellent | Excellent | Excellent | Excellent |
Status | Alive | Deceased | Deceased | Deceased |
Cause of death | N/A | Cardiac complications | Unknown | ACS + septicemia |
. | Patient A . | Patient B . | Patient C . | Patient D . |
---|---|---|---|---|
Age/sex | 82/F | 86/F | 82/F | 82/F |
Ancestry | African American | Italian American | African American | African Brazilian |
Obstetrical history* | G3P1A2 | G2P1A1 | G5P5 | G2P2 |
Diagnosis | SS | SS | Hb SC disease | Hb SC disease |
VOCs/y | 1-2 | 0-1 | 0-3 | 0-1 |
Cerebrovascular accident | No | No | No | No |
Retinopathy | Yes | Yes | No | No |
Cataracts | Yes | Yes, OU | No | Yes, OS |
Deafness | No | No | No | Yes, left ear |
ACS | No | No | No | Yes |
Congestive heart failure | Yes | Yes | No | No |
Hypertension | Yes | No | Yes | Yes |
Avascular necrosis | Yes + right hip replacement | Yes + replacement of both hips and right knee | No | No |
Leg ulcer | Yes | Yes | No | No |
Splenomegaly | No | No | Yes | Yes |
Cholecystectomy | Yes | No | Yes | No |
Infection | Tuberculosis, pneumonia | Urinary tract infection | Clostridium difficile colitis | Tuberculosis |
Transfusion | Frequent | Occasional | Occasional | Frequent |
Iron overload | Yes | No | No | Yes |
Comorbidity | Complete heart block, glaucoma OU, mild Parkinson disease | Paroxysmal AFIB, IBS, MVP, osteoporosis | Osteoma of mandible, depression | Diabetes mellitus type 2 |
Smoking | No | No | No | No |
Alcohol | No | Occasional | No | Occasional |
Body mass index | 21.6 | 20.4 | 24.8 | 23.1 |
Compliance | Excellent | Excellent | Excellent | Excellent |
Family support | Excellent | Excellent | Excellent | Excellent |
Status | Alive | Deceased | Deceased | Deceased |
Cause of death | N/A | Cardiac complications | Unknown | ACS + septicemia |
A, abortus; ACS, acute chest syndrome; AFIB, Atrial fibrillation; F, female; G, gravidity; Hb SC, sickle cell–hemoglobin C; IBS, irritable bowel syndrome; MVP, mitral valve prolapse; N/A, not applicable; OS, oculus sinister; OU, oculus uterque; P, parity; SS, sickle cell anemia; VOCs, vaso-occlusive crises.
Reported using the gravida/para/abortus system.