Long-term treatment follow-up of children with sickle cell disease monitored with abnormal transcranial Doppler velocities

Author:

Bernaudin Françoise12,Verlhac Suzanne13,Arnaud Cécile12,Kamdem Annie12,Hau Isabelle2,Leveillé Emmanuella12,Vasile Manuela3,Kasbi Florence3,Madhi Fouad2,Fourmaux Christine2,Biscardi Sandra2,Gluckman Eliane4,Socié Gérard4,Dalle Jean-Hugues5,Epaud Ralph26,Pondarré Corinne126

Affiliation:

1. Referral Center for Sickle Cell Disease,

2. Department of Pediatrics, and

3. Medical Imaging Department, Centre Hospitalier Intercommunal de Créteil, Université Paris-Est Créteil Val de Marne, Créteil, France;

4. Department of Hematology, Saint-Louis Hospital and

5. Department of Pediatric Hematology, Robert Debré Hospital, Paris Diderot University, Paris, France; and

6. INSERM Unité 955, Université Paris-Est Créteil Val de Marne, Créteil, France

Abstract

Key PointsChildren with normalized TCD on transfusions were safely switched to hydroxyurea treatment, but trimestrial Doppler follow-up is required. Allogeneic transplant allowed the safe stop of transfusions in all patients, even in those with abnormal velocities before transplant.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference44 articles.

1. Cerebrovascular accidents in sickle cell disease: rates and risk factors.;Ohene-Frempong;Blood,1998

2. The use of transcranial ultrasonography to predict stroke in sickle cell disease.;Adams;N Engl J Med,1992

3. Detection of cerebrovascular disease in patients with sickle cell disease using transcranial Doppler sonography: correlation with MRI, MRA and conventional angiography.;Verlhac;Pediatr Radiol,1995

4. Long-term stroke risk in children with sickle cell disease screened with transcranial Doppler.;Adams;Ann Neurol,1997

5. Transcranial color Doppler in children with sickle cell disease [in French].;Verlhac;J Radiol,2003

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