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Clinical Management of Sickle Cell Liver Disease in Children and Young Adults

Research output: Contribution to journalReview articlepeer-review

Serena Kyrana, Florence Lacaille, David Rees, Emer Fitzpatrick, Mark Davenport, Nigel Heaton, Sue Height, Marianne Samyn, Fulvio Mavilio, Valentine Brousse, Abid Suddle, Subarna Chakravorty, A Verma, Girish Gupte, Mark Velangi, Baba Inusa, Emma Drasar, Dino Hadzic, Tassos Grammatikopoulos, Jonathan Hind & 3 more Maesha Deheragoda, M. Sellars, Anil Dhawan

Original languageEnglish
Article number319778
JournalArchives of Disease in Childhood
DOIs
Published13 Sep 2020

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  • Manuscript - ACCEPTED

    Manuscript_ACCEPTED.docx, 1.08 MB, application/vnd.openxmlformats-officedocument.wordprocessingml.document

    Uploaded date:15 Sep 2020

    Version:Accepted author manuscript

King's Authors

Abstract

Liver involvement in sickle cell disease (SCD) is often referred to as sickle cell hepatopathy (SCH) and is a complication of SCD which may be associated with significant mortality. This review is based on a round-Table workshop between paediatric and adult hepatologists and haematologists and review of the literature. The discussion was prompted by the lack of substantial data and guidance in managing these sometimes very challenging cases. This review provides a structured approach for the diagnosis and management of SCH in children and young adults. The term SCH describes any hepatobiliary dysfunction in the context of SCD. Diagnosis and management of biliary complications, acute hepatic crisis, acute hepatic sequestration and other manifestations of SCH are discussed, as well as the role of liver transplantation and haemopoietic stem cell transplantation in the management of SCH.

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