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Sickle cell disease in childhood in Madina
Z M Hawasawi1, G Nabi, M S Al Magamci
1Maternity and Children's Hospital, Madina, Saudi Arabia.
Insights
Sickle cell disease (SCD) affects children in Saudi Arabia, with 53 cases identified in Madina. Early detection via neonatal screening and new treatments are crucial for managing this significant health issue.
Area of Science:
- Pediatrics
- Hematology
- Genetics
Background:
- Sickle cell disease (SCD) is prevalent in Saudi Arabia, particularly in the Eastern and Southern regions.
- This study focuses on 53 cases of SCD identified in the Madina area, highlighting its regional impact.
Purpose of the Study:
- To report on the incidence and characteristics of sickle cell disease in pediatric patients in Madina, Saudi Arabia.
- To understand the primary causes of admission and patient demographics for SCD in the region.
Main Methods:
- A retrospective study analyzed 6000 pediatric patient admissions at Madina's Maternity and Children's Hospital (November 1990 - October 1991).
- Identified 53 children (0.88%) with sickle cell disease, including Saudis (73.58%) and non-Saudis (26.41%).
Main Results:
- The study included 36 patients with homozygous SS and 17 with sickle thalassemia.
- Common admissions were for vaso-occlusive crisis (77.35%), infection (67.92%), and acute chest syndrome (22.64%).
- Patient ages ranged from six months to 12 years, with no reported mortality during follow-up.
Conclusions:
- Sickle cell disease is a major cause of morbidity in Madina, Saudi Arabia.
- Neonatal screening programs are recommended for early detection.
- Further research into novel therapeutic agents for SCD is warranted.
Background:
Sickle cell disease (SCD) is a common disease in Saudi Arabia, with a high prevalence in the Eastern and Southern regions. This study reports on 53 cases of SCD encountered in the Madina area.
Patients And Methods:
In a retrospective study of 6000 pediatric patients, 53 children (0.88%) with sickle cell disease were admitted in the Maternity and Childrenâs Hospital at Madina, between November 1990 and October 1991. Of these, 39 patients (73.58%) were Saudis and 14 (26.41%) were non-Saudis.
Results:
Thirty-six patients were homozygous SS and 17 were sickle thalassemic. The main causes of admission were vaso-occlusive crisis (77.35%), infection (67.92%), acute chest syndrome (22.64%), anemia (12.6%), and cerebrovascular accident (9.43%). The lowest and highest age groups recorded in this study were six months and 12 years, respectively. About 70% of the patients are still being followed up, and none of the patients has died.
Conclusion:
. This disease is one of the major causes of morbidity in this region of Saudi Arabia. Measures required include neonatal screening programs for the early detection of the disease, as well as research into new drugs to counter the disease.
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