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Cited by 294

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

The spleen and sickle cell disease: the sick(led) spleen

Brousse, Valentine, Buffet, Pierre, Rees, David·2014·British Journal of Haematology

Abstract

Summary: The spleen has a combined function of immune defence and quality control of senescent or altered red cells. It is the first organ injured in sickle cell anaemia (SCA) with evidence of hyposplenism present before 12 months in the majority of children. Repeated splenic vaso‐occlusion leads to fibrosis and progressive atrophy of the organ (autosplenectomy), which is generally complete by 5 years in SCA. The precise sequence of pathogenic events leading to hyposplenism is unknown. Splenic injury is generally silent and progressive. It can be clinically overt with acute splenic sequestration of red cells, an unpredictable and life‐threatening complication in infants. Splenomegaly, with or without hypersplenism, can also occur and can coexist with loss of function. Hyposplenism increases the susceptibility of SCA children to infection with encapsulated bacteria, which is notably reduced by penicillin prophylaxis and immunization. Whether hyposplenism indirectly increases the risk of vaso‐occlusion or other circulatory complications remains to be determined.

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Metadata

Authors
Brousse, V., Buffet, P., & Rees, D.
Venue
British Journal of Haematology
Publisher
Wiley
Published
2014-05-26
Volume
166
Issue
2
Pages
165-176
ISSN
  • 0007-1048 (ISSN-L)
  • 1365-2141
OpenAlex
W2070251534
Cited by
294
References
54
FWCI
7.95
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The spleen and sickle cell disease: the sick(led) spleen. https://app.cochat.ai/papers/10.1111/bjh.12950
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Brousse, V., Buffet, P., & Rees, D. (2014). The spleen and sickle cell disease: the sick(led) spleen. British Journal of Haematology. https://doi.org/10.1111/bjh.12950

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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