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Pathology Hemoglobinopathies: Sickle cell anemia aaf91a5d

Which of the following is true about sickle cells?

A
Sickling occurs equally in both heterozygous and homozygous variants
B
Fetal hemoglobin facilitates sickling
C
Sickling is reversible with oxygenation
D
Sickling is associated with reduced MCHC
High-Yield Explanation
- Sickle cell disease is a common familial hemolytic anemia caused by a point mutation in b-globin in which glutamic acid is replaced by valine at 6th position. - It promotes the polymerization of deoxygenated hemoglobin, leading to red cell distoion, hemolytic anemia, microvascular obstruction, and ischemic tissue damage. - This sickling is reversible with oxygenation. - Sickling is severe in homozygous state than heterozygous state. - HbS facilitates sickling, not HbF - Dehydration & deoxygenation facilitates sickling

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