Table 1.

Clinical Characteristics of 16 Pediatric Patients With SCD and Stroke Who Discontinued Chronic Transfusions and Received Oral Hydroxyurea Therapy to Prevent Stroke Recurrence

Patient No. Hemoglobin DiagnosisAge at First Stroke (yr) Type of StrokeTransfusions Reasons to Stop Transfusions Age Transfusions Stopped (yr)
moType
1  SS  12.3  R hemiplegia  82 S, E, P  AlloAb, AutoAb, Iron, NC  19.1  
2  SS  4.5 R exotropia  47  S, E, P  AutoAb, NC  8.4  
3  SS 5.7  L hemiplegia  7  S  AutoAb  6.3  
4  SS 7.7  R hemiplegia, aphasia  13  S  2nd stroke on transfusions  8.8  
5  SS  6.5  L hemiplegia  72 S, E, P  AlloAb, AutoAb  16.7  
6  SS  6.4  R hemiplegia, aphasia  72  S, E, P  Iron, NC  12.3  
SS  5.3  R hemiplegia, aphasia  37  S, E  Iron 8.4  
8  SS  5.5  Coma, seizures  127  S, E, P Iron, DFO allergy  16.1  
9  SS  6.5  R hemiplegia 79  S, P  Iron, NC  13.1  
10  SS  8.3  R hand 34  S, E  Iron, NC  11.2  
11  SS  17.3  L hemiplegia  28  S, E  NC  19.7  
12  SS  3.0  L hemiplegia  54  S  Iron, DFO allergy  7.6  
13  SS 15.0  R hemiplegia, aphasia  39  S, E  Iron, NC 18.4  
14  SOArab 1.1  L hand 22  S  Iron  2.9  
15  SS  6.3  R hemiplegia 54  S, E, P  Iron  10.7  
16  SS  2.7  L hand 127  S  Iron  13.3 
Patient No. Hemoglobin DiagnosisAge at First Stroke (yr) Type of StrokeTransfusions Reasons to Stop Transfusions Age Transfusions Stopped (yr)
moType
1  SS  12.3  R hemiplegia  82 S, E, P  AlloAb, AutoAb, Iron, NC  19.1  
2  SS  4.5 R exotropia  47  S, E, P  AutoAb, NC  8.4  
3  SS 5.7  L hemiplegia  7  S  AutoAb  6.3  
4  SS 7.7  R hemiplegia, aphasia  13  S  2nd stroke on transfusions  8.8  
5  SS  6.5  L hemiplegia  72 S, E, P  AlloAb, AutoAb  16.7  
6  SS  6.4  R hemiplegia, aphasia  72  S, E, P  Iron, NC  12.3  
SS  5.3  R hemiplegia, aphasia  37  S, E  Iron 8.4  
8  SS  5.5  Coma, seizures  127  S, E, P Iron, DFO allergy  16.1  
9  SS  6.5  R hemiplegia 79  S, P  Iron, NC  13.1  
10  SS  8.3  R hand 34  S, E  Iron, NC  11.2  
11  SS  17.3  L hemiplegia  28  S, E  NC  19.7  
12  SS  3.0  L hemiplegia  54  S  Iron, DFO allergy  7.6  
13  SS 15.0  R hemiplegia, aphasia  39  S, E  Iron, NC 18.4  
14  SOArab 1.1  L hand 22  S  Iron  2.9  
15  SS  6.3  R hemiplegia 54  S, E, P  Iron  10.7  
16  SS  2.7  L hand 127  S  Iron  13.3 

Abbreviations: R, right; L, left; S, simple transfusions; E, erythrocytapheresis; P, partial exchange transfusions; AlloAb, erythrocyte alloantibodies; AutoAb, erythrocyte autoantibodies; DFO, deferoxamine; NC, noncompliance; SS, homozygous sickle cell anemia; SOArab, heterozygous HbS and HbOArab.

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