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Role of the hemostatic system on sickle cell disease pathophysiology and potential therapeutics

Zahra Pakbaz1, Ted Wun2

  • 1Division of Hematology Oncology, Davis School of Medicine, 4501 X Street, Suite 3016, Sacramento, CA 95817, USA.

Hematology/Oncology Clinics of North America
|March 5, 2014
PubMed

Recent studies suggest that sickle cell disease (SCD) is a hypercoagulable state contributing to vaso-occlusive events in the microcirculation, resulting in acute and chronic sickle cell-related organ damage. In this article, we review the existing evidence for contribution of hemostatic system perturbation to SCD pathophysiology. We also review the data showing increased risk of thromboembolic events, particularly newer information on the incidence of venous thromboembolism. Finally, the potential role of platelet inhibitors and anticoagulants in SCD is briefly reviewed.

Keywords:
Anti-plateletsAnticoagulantsHypercoagulableSickle cellThromboembolism

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