Sickle Cell Disease: Monitoring, Current Treatment, and Therapeutics Under Development

Hematol Oncol Clin North Am. 2019 Jun;33(3):355-371. doi: 10.1016/j.hoc.2019.01.014. Epub 2019 Mar 28.

Abstract

Screening and early detection of organ injury, as well as expanded use of red cell transfusion and hydroxyurea in children have changed best practices for clinical care in sickle cell disease. The current standard of care for children with sickle cell disease is discussed through a review of screening recommendations, disease monitoring, and approach to treatment. Novel pharmacologic agents under investigation in clinical trials are also reviewed.

Keywords: Hydroxyurea; Novel therapeutics; Screening; Sickle cell disease; Treatment.

Publication types

  • Review

MeSH terms

  • Anemia, Sickle Cell / blood
  • Anemia, Sickle Cell / diagnosis
  • Anemia, Sickle Cell / therapy*
  • Antisickling Agents / therapeutic use
  • Child
  • Clinical Trials as Topic
  • Erythrocyte Transfusion / methods*
  • Glutamine / therapeutic use*
  • Humans
  • Hydroxyurea / therapeutic use*
  • Monitoring, Physiologic / methods*
  • Stem Cell Transplantation / methods*

Substances

  • Antisickling Agents
  • Glutamine
  • Hydroxyurea