Blood transfusion and iron overload in patients with Sickle Cell Disease (SCD): Personal experience and a short update of diabetes mellitus occurrence

Main Article Content

Ashraf T Soliman
Vincenzo De Sanctis
Mohamed Yassin https://orcid.org/0000-0002-1144-8076
Awni Alshurafa https://orcid.org/0000-0002-1144-8076
Fateen Ata https://orcid.org/0000-0001-7121-8574
Abdulqadir Nashwan https://orcid.org/0000-0003-4845-4119

Keywords

Sickle cell disease, blood transfusion, iron overload, complications, glucose homeostasis, diabetes mellitus, metformin.

Abstract

The conventional treatment of β-thalassemia (β-TM) patients is based on the correction of anemia through regular blood transfusions and iron chelation therapy. However, allogeneic hematopoietic stem cell transplantation (HSCT) remains the only currently available technique that has curative potential. Variable frequency and severity of long-term growth and endocrine changes after conventional treatment as well as after HSCT have been reported by different centers. The goal of this mini-review is to summarize and update knowledge about long-term growth and endocrine changes after HSCT in patients with β-TM in comparison to those occurring in β-TM patients on conventional treatment. Regular surveillance, early diagnosis, treatment, and follow-up in a multi-disciplinary specialized setting are suggested to optimize the patient's quality of life (www.actabiomedica.it).

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