Association between sickle cell disease and autoimmune diseases in Saudi population: a single center study

Rehab Y Al-Ansari1, Alexander Woodman2, Hana Ibrahim Al Daajani3

  • 1Adult Hematology Unit, Internal Medicine Department, King Fahd Military Medical Complex, Dhahran, Kingdom of Saudi Arabia.

PubMed

Insights

Sickle cell disease (SCD) frequently coexists with autoimmune diseases (AID), affecting 15.47% of patients in this study. Common associated AIDs include lupus and hypothyroidism, highlighting the need for screening and early detection in SCD patients.

Area of Science:

  • Hematology
  • Immunology
  • Rheumatology

Background:

  • The relationship between sickle cell disease (SCD) and autoimmune diseases (AID) requires further elucidation.
  • Understanding the co-occurrence of these conditions is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the frequency of autoimmune diseases (AID) in patients diagnosed with sickle cell disease (SCD).
  • To identify common autoimmune diseases associated with SCD and their prevalence.

Main Methods:

  • A retrospective analysis of 168 patients with sickle cell disease (SCD) was conducted between January 2016 and March 2023.
  • Data collected included demographics, medications, hospitalization history, SCD phenotypes, presence of AIDs, and laboratory results.

Main Results:

  • 15.47% of SCD patients exhibited coexisting autoimmune diseases (AID), a statistically significant finding (p=0.00001).
  • The most prevalent SCD-associated AIDs were systemic lupus erythematosus (4.2%), hypothyroidism (3.6%), and antiphospholipid syndrome (3.6%).
  • A positive correlation was observed between a higher hospitalization rate and the presence of AID in SCD patients (p=0.03).

Conclusions:

  • This study demonstrates a significant rate of autoimmune disease (AID) co-occurrence in sickle cell disease (SCD) patients.
  • Further research is warranted to establish screening protocols for early detection of AIDs in individuals with SCD.
Abstract

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