Related Experiment Video
Updated: Jun 8, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Vitamin D deficiency in pediatric sickle cell disease patients without crisis - A cry to investigate it on priority
Shahida Aziz Khan1,2, Torki Al Zughaibi1,2, Sarah A Khan2
1King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Insights
Vitamin D deficiency is common in children with sickle cell disease (SCD). Addressing low vitamin D levels early can reduce health complications in these vulnerable children.
Area of Science:
- Pediatrics
- Hematology
- Endocrinology
Background:
- Vitamin D deficiency (VDD) poses global health risks.
- Children with sickle cell disease (SCD) are at heightened risk for comorbidities.
- Early detection of VDD in SCD children is crucial to mitigate adverse effects.
Purpose of the Study:
- To determine vitamin D levels in children with SCD during a stable state.
- To investigate potential associations between vitamin D levels, inflammation, and infections in SCD children.
Main Methods:
- Enrolled 5-16 year old children with SCD in a steady state.
- Collected consent and ethical clearance.
- Analyzed hemoglobin (Hb), serum calcium, vitamin D, and high-sensitivity C-reactive protein (hsCRP) levels.
Main Results:
- Most SCD children exhibited vitamin D deficiency.
- Significant correlations were observed between vitamin D levels and inflammatory markers (WBC, hsCRP) and Hb, particularly in older males and females.
- Strong negative correlations were found between vitamin D and Hb/hsCRP in older males, and between vitamin D and WBC/hsCRP in older females.
Conclusions:
- Vitamin D deficiency is prevalent in children with SCD.
- Early intervention for VDD in SCD children is recommended to reduce comorbidity incidence and severity.
Objective:
The alarming increase in vitamin D deficiency (VDD) has been shown to result in compounded risks of major health problems globally. As sickle cell disease (SCD) children are already health compromised, the co-morbidities escalate early in life, demanding an early detection, to minimize the adverse effects. This study determined vitamin D levels in children with SCD without a crisis to check for probable associations with inflammation and infections if any.
Methods:
SCD children aged 5-16 years, in a steady state, were enrolled in the study after taking necessary consent and ethical clearance. Hb, serum calcium, vitamin D, and high-sensitivity C-reactive protein (hsCRP) levels were analyzed.
Results:
VDD was seen in most of the children with SCD irrespective of gender and age. Males aged 5-10 years showed significance (P = 0.0375) with vitamin D and white blood cell (WBC) (P = 0.0015) but males aged 11-16-year age group exhibited a very strong-positive correlation with vitamin D (r = 0.9862) and a very strong-negative correlation with Hb (r = -0.9819) and hsCRP (r = -0.9907). Among females, the 11-16-year age group patients exhibited a significant association with vitamin D (P = 0.0487), Ca (P = 0.0118), Hb (P = 0.0007), and hsCRP (P = 0.0001) levels. Correlation "r" values in this age group show a strong-negative correlation with WBC levels (r = -0.6525) as well as hsCRP (r = - 0.6550).
Conclusion:
The increased deficiency of vitamin D in SCD children should be addressed at early ages of life, to reduce the occurrence and severity of associated comorbidities.
More Related Videos
05:23Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
08:23Characterization of Sickling During Controlled Automated Deoxygenation with Oxygen Gradient Ektacytometry
Published on: November 5, 2019
Related Concept Videos
Vitamins
Immunodeficiency Diseases
There are three main causes of immunodeficiency...
Role of Vitamins in Maintaining Bone Health
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Changes in Skin Color: Clinical Perspectives
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Skeleton and Calcium Homeostasis