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  Vol. 133 No. 12, December 1979 TABLE OF CONTENTS
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Pitfalls of Newborn Screening for Sickle Cell Anemia

DENIS R. MILLER, MD

Am J Dis Child. 1979;133(12):1235-1236.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Morbidity and mortality from sickle cell anemia is high during the first few years of life. Acute and life-threatening events such as severe anemia; hypoplastic crises induced by infection; overwhelming pneumococcal sepsis, pneumonia, or meningitis; sudden and massive splenic sequestration crises, and the more chronic debilitating complications affecting general health, growth, and development take their toll.1

Early diagnosis of afflicted infants serves a dual purpose: first, to ensure appropriate and adequate health care for homozygous patients; and second, to forewarn parents of the potential problems and hazards of having other affected children and to permit them to make intelligent and informed decisions with regard to future children through sensitive counseling. With the availability of improved and relatively safe techniques for antenatal detection of hemoglobinopathies,2 parents at risk should be provided with an accurate diagnosis at the earliest possible time. Screening programs created to test older children, adolescents, and . . . [Full Text PDF of this Article]


Author Affiliations



Department of Pediatrics Memorial Sloan-Kettering Cancer Center 1275 York Ave New York, NY 10021



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