Introduction: Sickle cell disease is the most common autosomal recessive genetic disorder affecting the beta chain of hemoglobin. The objective of this study was to determine the prevalence of microalbuminuria in individuals with sickle cell disease. Methods: This was a prospective descriptive study conducted over a 6-month period, from July 1st to December 31st, 2020. We included in this study all patients hospitalized in the hematology-oncology department who had undergone hemoglobin electrophoresis and in whom the diagnosis of Sickle cell disease was confirmed, and the patient had no history of conditions causing proteinuria, so microalbuminuria was investigated. Data analysis was performed using Epi Info 2008 version 7.1.1 software. Results: Of 40 patients admitted to the Hematology-Oncology department of Donka National Hospital, 15 had microalbuminuria, representing a frequency of 37.5%. The 20 - 29 age group was the most represented. Men were more affected than women, at 53% versus 47%. A serum protein concentration of 150 mg/L was the most common, occurring in 56% of homozygous SS sickle cell patients. Moderate anemia was the most frequent finding, with a prevalence of 47.5% in sickle cell patients. Conclusion: Microalbuminuria is a common finding in sickle cell patients. To reduce this frequency, regular monitoring of sickle cell disease is necessary.
References
[1]
Choudja, C.J. (2012) Les enfants avec une drépanocytose—un mémento pour le pédiatre. Paediatrica, 23, 16-19. https://www.paediatrieschweiz.ch/fr/les-enfants-avec-une-drepanocytose-un-memento-pour-le-pediatre/
[2]
Diallo, D.A. (2008) Sickle Cell Disease in Africa: Problems, Strategies for Improving Survival and Quality of Life of Sickle Cell Patients. Bulletin de l’Académie nationale de médecine, 192, 1361-1373.
[3]
Kolié, O.O., Bangoura, M.A., Camara. E., Kouyaté, M., Camara, S.H., Bangoura, K. et al. (2023) Aspects épidémiocliniques et Thérapeutiques de la Drépanocytose chez l’Enfant à l’H?pital National de Donka (Conakry): Une étude de 182 Cas. Health Sciences and Disease, 24, 127-131.
[4]
Alvarez, O., Montane, B., Lopez, G., Wilkinson, J. and Miller, T. (2006) Early Blood Transfusions Protect against Microalbuminuria in Children with Sickle Cell Disease. Pediatric Blood & Cancer, 47, 71-76. https://doi.org/10.1002/pbc.20645
[5]
Aloni, M.N., Mabidi, J.L., Ngiyulu, R.M., Ekulu, P.M., Mbutiwi, F.I., Makulo, J.R., etal. (2017) Prevalence and Determinants of Microalbuminuria in Children Suffering from Sickle Cell Anemia in Steady State. Clinical Kidney Journal, 10, 479-486. https://doi.org/10.1093/ckj/sfx058
[6]
Dharnidharka, V.R., Dabbagh, S., Atiyeh, B., Simpson, P. and Sarnaik, S. (1998) Prevalence of Microalbuminuria in Children with Sickle Cell Disease. Pediatric Nephrology, 12, 475-478. https://doi.org/10.1007/s004670050491
[7]
Christopher, R. (2012) Microalbuminuria as a Predictor of Glomerular Injury in Children and Adolescents with Sickle Cell Disease at the National Hospital in Dar es Salaam, Tanzania. Ph.D. Thesis, Muhimbili University of Health and Allied Sciences.
[8]
Eke, C.B., Okafor, H.U. and Ibe, B.C. (2012) Prevalence and Correlates of Microalbuminuria in Children with Sickle Cell Anaemia: Experience in a Tertiary Health Facility in Enugu, Nigeria. InternationalJournalofNephrology, 2012, 1-7. https://doi.org/10.1155/2012/240173
[9]
Tia, W.M. (2005) Microalbuminuria and GFR in Subjects with Major Forms of Sickle Cell Disease at the Yopougon University Hospital. Ph.D. Thesis, Medical Sciences Training and Research Unit (UFRSP), University of Cocody.
[10]
Thomas, L., Ansorg, R., Arndt, T., et al. (2008) Labor und Diagnose: Indikation und Bewertung von Laborbefunden für die medizinische Diagnostik. 7th Edition, TH-Books.
[11]
Burtis, C.A., Ashwood, E.R. and Bruns, D.E. (2006) Tietz Textbook of Clinical Chemistry and Molecular Diagnostic. 4th Edition, Elsevier Saunders.
[12]
Alkhunaizi, A.M., Al-Khatti, A.A. and Alkhunaizi, M.A. (2018) Prevalence of Microalbuminuria in Adult Patients with Sickle Cell Disease in Eastern Saudi Arabia. International Journal of Nephrology, 2018, 1-6. https://doi.org/10.1155/2018/5015764
[13]
King, L., MooSang, M., Miller, M. and Reid, M. (2011) Prevalence and Predictors of Microalbuminuria in Jamaican Children with Sickle Cell Disease. Archives of Disease in Childhood, 96, 1135-1139. https://doi.org/10.1136/archdischild-2011-300628
[14]
Imuetinyan, B.A.I., Okoegbuale, M.I. and Egberue, G.O. (2011) Microalbuminuria in Children with Sickle Cell Disease. Saudi Journal of Kidney Disease andTransplantation, 22, 733-738.
[15]
Drawz, P., Ayyappan, S., Nouraie, M., Saraf, S., Gordeuk, V., Hostetter, T., et al. (2016) Kidney Disease among Patients with Sickle Cell Disease, Hemoglobin SS and SC. ClinicalJournaloftheAmericanSocietyofNephrology, 11, 207-215. https://doi.org/10.2215/cjn.03940415
[16]
Bouanani, N., El Bakkouri, J., Faez, S. and Benchemsi, N. (2013) Renal Involvement in Sickle Cell Patients. Laboratory Technologies, 8, 31.
[17]
Camara, A.S. (2018) Evaluation of Renal Function in Sickle Cell Patients at the Hematology-Oncology Department of Donka National Hospital. Doctoral Thesis in Medicine, Université Gamal Abdel Nasser de Conakry.