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Correspondence
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Volume 356:642-643 February 8, 2007 Number 6
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Elderly Survivors with Homozygous Sickle Cell Disease

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To the Editor: Prolonged survival in homozygous sickle cell disease is more common than previously thought. A Jamaican study1 in 1968 described 60 patients who were 30 years of age or older, and the Cooperative Study of Sickle Cell Disease in the United States2 estimated a median survival of 42 to 48 years.

The Sickle Cell Clinic at the University of the West Indies has treated 102 patients (64.7% women) who survived beyond their 60th birthday; of these patients, 58 are now dead, 4 have emigrated, and 40 are still alive. The diagnosis of homozygous sickle cell disease was based . . . [Full Text of this Article]


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