The spleen is an organ in the body that filters the blood by removing
damaged blood cells and bacteria.
In
sickle cell disease, the spleen removes sickle-shaped
red blood cells from the blood. This can result in the removal of too many red
blood cells. When too many red blood cells are removed, a condition (anemia) results that causes symptoms such as pale skin
and weakness.
Sickled red blood cells may also damage parts of the spleen,
preventing it from working properly. When the spleen doesn't work properly,
people with sickle cell disease are more likely to have serious,
life-threatening infections with certain types of bacteria. In older children
and adults, the spleen often disappears because of years of damage from sickled
cells.