Symptoms
Painful events (crises) in the hands or
feet, abdomen, back, or chest are the most common symptom of
sickle cell disease. This pain may last from hours to
days. Most people with sickle cell disease experience
anemia. Symptoms of anemia include feeling weak and
tired. People with sickle cell disease can appear pale or washed out. Or they
have a yellowish look to their skin and the whites of their eyes (jaundice).
When a child is born with
sickle cell disease, it isn't possible to predict which symptoms will appear,
when they will start, or how bad they will be. Most symptoms of sickle cell
disease are related to either long-term (chronic) anemia or blood vessels
blocked by sickled cells.
Symptoms related to chronic anemia
Most people who have sickle cell disease
have at least mild symptoms of chronic anemia, which may include:
- Weakness.
- Tiredness (fatigue).
- Pale appearance.
- Yellowing of the skin and the whites of the eyes
(jaundice).
- Shortness of breath, especially when they are active.
Severe anemia may raise the chance of a person with sickle
cell disease getting high blood pressure in the lungs (pulmonary hypertension), and this can be deadly.1
Symptoms caused by blocked blood vessels
Pain symptoms caused by blocked blood vessels in bones, organs, and other
tissues include hours to days of extreme pain. These
painful events can occur rarely to often. Sometimes
home treatment can help the pain. And sometimes a hospital stay is
needed.
Children ages 6 months to 4 years may have episodes of
extreme pain in the hands, the feet, or both (hand-foot syndrome).