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Incidence
- Sickle cell disease is one of the most common genetic diseases in the United States
- It affects more than 50,000 Americans, mainly those of African descent. It also affects those of Mediterranean, Caribbean, South and Central American, Arabian or East Indian heritage
- About one out of every 375 African-American children is affected by sickle cell disease
Inheritance
- Sickle cell disease and other sickling hemoglobin disorders are inherited in an autosomal recessive pattern
- The parents of a child with a Sickle hemoglobinopathy are healthy carriers of the disease and have one normal gene and one abnormal gene
- With each pregnancy, carrier parents have a 25% chance of having a child with two copies of the abnormal gene, resulting in a sickle hemoglobinopathy
- Carrier parents have a 50% chance of having a child who is an unaffected carrier
- These parents also have a 25% chance of having an unaffected, non-carrier child
- These risks hold true for each pregnancy
- Sickle cell disease occurs when one gene for production of Hb S is inherited from each parent
- Other sickling diseases occur when the child inherits a gene for Hb S from one parent and a gene for another abnormal form of hemoglobin (Hb C, Hb E or a thalassemia) from the other parent
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