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A nine-year-old African child received a diagnosis of sickle cell disease (hemoglobin SC) in 1991. Between 1991 and 2001, he had multiple vaso-occlusive crises, despite hydroxyurea therapy. He was referred to us at the age of 19 years for transplantation of peripheral-blood stem-cells from an HLA-identical brother who was heterozygous for sickle cell disease.3,4 Before peripheral-blood stem-cell mobilization with a
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