Anemia
Anemia
is not only a symptom of sickle cell disease in babies but the most common
symptom. Anemia comes from the presence of fewer red blood cells. A child with
anemia can appear pale and tired.
Pain crisis, or sickle crisis
These kind of severe pains happen when
crescent-shaped red blood cells move through small
blood vessels and get stuck, causing severe pain in that body part. Pain episodes
or pain crisis can occur in any body part though it happens mostly in the legs,
arms, and chest. For infants and toddlers, the pain may target their fingers
and also cause toes to swell.
Blocked blood flow may also lead to tissue death. And when your
baby is dehydrated, stressed or exposed to cold, it may cause pain crisis. Pain crisis
can take hours or even days and may require hospitalization.
Yellowing of the eyes, skin, and
mouth
This symptom is called jaundice. When the red
blood cells die, a substance referred to as bilirubin gets released.
Unlike normal red blood cells, sickle cells live
for a very short time and die before the liver can filter them out.
Acute chest syndrome
This sign occurs when sickle cells stick together
and obstruct the flow of oxygen in the tiny vessels in a child’s lungs. It
can be a deadly syndrome that occurs suddenly, when conditions like an
infection, fever, or fluid loss has put a child’s body under stress. It is
similar to pneumonia and can come with pain, fever, and a violent cough.
Splenic sequestration (pooling)
When sickle cells get stuck and build up in the
spleen, it gets enlarged and painful. The results can be a sudden drop in
hemoglobin. Splenic sequestration can be deadly if a baby or adult experiencing
it doesn’t get the right treatment immediately.
Other symptoms of sickle cell disease in children
are delayed growth and retinal damage which can cause vision impairment.
Newborn
Screening for Sickle Cell Anemia (Hb SS)
If your baby gets an out-of-normal-range result
for a newborn screening sickle cell anemia (Hb SS), your baby’s doctor or the
state screening program will arrange for an additional (confirmatory)
testing. If your baby has the condition (Hb SS), they will have a large number
of sickle or crescent shaped red blood cells rather than donut-shaped ones,
which are normal.
Note that symptoms of SCD may appear like other
disorders or health problems. So, it is better to see your
child's healthcare provider for a diagnosis.
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