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Anemia
Volume 2012, Article ID 105349, 7 pages
http://dx.doi.org/10.1155/2012/105349
Research Article

Foetal Haemoglobin, Erythrocytes Containing Foetal Haemoglobin, and Hematological Features in Congolese Patients with Sickle Cell Anaemia

1Unité de Dépistage de la Drépanocytose, Centre Hospitalier Monkole, BP 817, Kinshasa XI, Democratic Republic of Congo
2Centre de Formation et d’Appui Sanitaire (CEFA), 10, Avenue Kemi, Mont Ngafula, Kinshasa, Democratic Republic of Congo
3Servizio di Ematologia, Università Campus Bio-Medico di Roma, 21, Via Alvaro del Portillo, 00128 Roma, Italy
4INSERM, Institut Cochin, 4, rue du Faubourg Saint-Jacques, 75014 Paris, France

Received 2 January 2012; Revised 14 April 2012; Accepted 7 May 2012

Academic Editor: Betty S. Pace

Copyright © 2012 L. Tshilolo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

High HbF levels and F cells are correlated with reduced morbidity and mortality in sickle cell disease (SCD). This paper was designed to determine the HbF and F cells levels in Congolese sickle cell anemia (SCA) patients in order to determine their impact on the expression of SCD. Population and Method. HbF levels were measured in 89 SCA patients (mean age 11.4 yrs) using a standard HPLC method. F cell quantitation was done in a second group of SCA patients ( 𝑛 = 4 2 , mean age 8.9 yrs) and compared with a control group ( 𝑛 = 4 7 , mean age 5 yrs). F cells were quantified by a cytofluorometric system (MoAb-HbF—FITC; cut off at 0.5%). Results. The mean value of HbF was 7.2%  ±  5.0 with heterogeneous distribution, most patients (76%) having HbF < 8%. Mean values of F-cells in SCA patients and control group were 5.4%  ±  7.6 (median: 2.19% ; range 0,0–30,3%) and 0.5%  ±  1.6 (median 0.0, range 0–5.18), respectively. SCA patients with F cells >4.5% developed less painful crisis and had higher percentage of reticulocytes. Conclusion. Congolese SCA patients displayed low levels of HbF and F-cells that contribute to the severity of SCD.