SCOTT J. RATNER, M.D.; EDWARD A. ATHANASIAN
RATNER SJ, ATHANASIAN EA. Water Sports and Sickle Cell Anemia. Ann Intern Med. 1986;105:971. doi: 10.7326/0003-4819-105-6-971_1
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Published: Ann Intern Med. 1986;105(6):971.
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To the editor: Painful crisis is a significant cause of morbidity and, occasionally, mortality in the adult with sickle cell anemia. The recent popularity of "tubing" as a recreational activity has increased the potential for several new medical problems, as shown by the following case report.
A 32-year-old black man with sickle cell disease and infrequent ( < 1/18 months) painful crises presented with severe bilateral knee pain. His recent health had been good, and his last painful crisis was over 2 years ago. On the day of admission, he had been tubing in upstate New York. Despite the ambient
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