Gregory J. Dennis, MAJ, MC, USA; Richard M. Keating, LCDR, MC, USN
To the Editors: In a recent issue of Annals, Valeriano-Marcet and Kerr (1) hypothesized that ischemia or infarction from irreversibly sickled cells explained the pain, swelling, and muscle contractures observed in some patients with sickle cell anemia. We report the case of a patient whose findings lend further support to this hypothesis.
A 42-year-old black woman with previously documented sickle cell anemia was hospitalized for evaluation of recurrent fever, migratory musculoskeletal discomfort, and skin ulcerations of 2 weeks duration. One day before admission, she developed a painful, swollen left arm and an inability to straighten the arm at the elbow.
Dennis GJ, Keating RM. Muscle Infarction in Sickle Cell Anemia. Ann Intern Med. ;115:831–832. doi: 10.7326/0003-4819-115-10-831
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Published: Ann Intern Med. 1991;115(10):831-832.
Hematology/Oncology, Red Cell Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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