A survey of patients with sickle cell crisis presenting to accident and emergency department of salmanyia medical center, Bahrain

SHAIKHA AL-ARRAYED, MBChB,DHCG, PhD.* Aziz Y. HAMZA. MCH, MD.** S. CHANDRA, BSc, MBBS, MD, MRCP.*** HANEEF A. AZEM, MBBS, MS.**** MISBAH REZA, MBBS.*****

ABSTRACT

????? ????? ??? ???? ???????? ?? ??? 1990 ?????? ?????? ??? ???? ????? ?????? ?????? ???? ????????? ????? . ??? ??? ????? ?????? ??????? ???????? ???????? ???????? ? 200 ??? ?????? ???? ???? ???? ??????? ??? ?????? ??? ??????? ??????? ????????? ???? ???? ?????? ??????? ???????.??? ?? ??? ?????? ??? ??? ?????? ????? 1 : 2 ??? 60% ?? ????? ??? ???????? ??????? (30-15) ???? ?????? ???? (86%?) ???? ??????? ????? ??? ?? ????? ????? ????? ??????. ??? ?????? ?????? ?????? ???????? ??????? ????? ?????? ?? ????????? ??????? ???????? ??? ??????????? ??? ???? (83%) ???? ??? ???????. ????? ?? ?????? ?????????? ?????? ???? ????? ?? ??? ???? ???????.

In 1990 hereditary anaemia were found to occupy third place among ten leading causes of attendance at SalmaniyaMedical center (SMC)¹.two hundred Bahraini sickle cell disease (SCD) Patients who attended Accident and Emergency (A&E) department for vaso-occulusive crisis (VOC) during the period of January to March 1994, were studied to evaluate their clinical presentation and management.Males outnumbered females in ratio of 2:1,60%were in the age group of 15-30 years.Extermities pain was the commonest presenting feature, 86%followed by pain in abdomen and generalised body ache.Most patients responded to treatment with hydration, narcotic analgesic or non-steroid anti-inflammatory drugs and were discharged home from A&E 83% It appears that Bahraini Patients suffer from a milder type of SCD.

*Consultant Clinical Geneticist**Chairman***Consultant Physician****Senior Resident*****ResidentAccident and Emergency DepartmentSalmaniya Medical ComplexP.O.Box 12State of Bahrain