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Nollet KE, Ngoma AM, Ohto H. Transfusion-associated graft-versus-host disease, transfusion-associated hyperkalemia, and potassium filtration: Advancing safety and sufficiency of the blood supply. Transfus Apher Sci 2022; 61:103408. [DOI: 10.1016/j.transci.2022.103408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Antwi-Boasiako C, Kusi-Mensah YA, Hayfron-Benjamin C, Aryee R, Dankwah GB, Abla KL, Owusu Darkwa E, Botchway FA, Sampene-Donkor E. Serum Potassium, Sodium, and Chloride Levels in Sickle Cell Disease Patients and Healthy Controls: A Case-Control Study at Korle-Bu Teaching Hospital, Accra. Biomark Insights 2019; 14:1177271919873889. [PMID: 31523130 PMCID: PMC6728659 DOI: 10.1177/1177271919873889] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 08/13/2019] [Indexed: 11/21/2022] Open
Abstract
The activity of Na+-K+ ATPase is altered in sickle cell
disease (SCD), which affects serum electrolyte levels. This alteration is
associated with several complications in sickle cell patients. This study
evaluated the serum levels of sodium, potassium, and chloride in patients with
SCD. The study was a case-control cross-sectional study involving 120 SCD
patients in the steady state and 48 ‘healthy’ controls. The SCD patients were
made up of 69 HbSS patients and 41 HbSC patients. Serum electrolyte levels
(Na+, K+, and Cl−) were measured using a
Flame Atomic Absorption Spectrometer (Variant 240FS; Varian Australia Pty Ltd).
Serum sodium levels were significantly lower in the sickle cell patients,
compared with their ‘healthy’ counterparts (P = .0001).
Although the study found significantly higher serum levels of potassium in the
SCD patients (P = .0001), there was no significant difference
in serum chloride levels between patients with SCD and the controls
(P = .098). Serum sodium and chloride levels were not
significantly different in both HbSS and HbSC patients
(P = .197 and P = .553, respectively). The
level of serum potassium in the HbSS patients was, however, significantly higher
compared with those with the HbSC genotype (P = .0001). There
is higher efflux of K+ from the intracellular into the extracellular
space in HbSS patients, which may lead to red cell membrane dysfunction and
associated complications.
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Affiliation(s)
- Charles Antwi-Boasiako
- Department of Physiology, School of
Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
- Charles Antwi-Boasiako, Department of
Physiology, School of Biomedical and Allied Health Sciences, College of Health
Sciences, University of Ghana, P.O. Box 143, Korle-Bu, Accra 00233, Ghana.
| | - Yaw A Kusi-Mensah
- Department of Physiology, School of
Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
- Department of Anaesthesia, School of
Medicine and Dentistry, University of Ghana, Accra, Ghana
| | - Charles Hayfron-Benjamin
- Department of Physiology, School of
Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
- Department of Anaesthesia, School of
Medicine and Dentistry, University of Ghana, Accra, Ghana
| | - Robert Aryee
- Department of Physiology, School of
Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - Gifty Boatemaah Dankwah
- Department of Physiology, School of
Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - Kwawukume Lim Abla
- Department of Physiology, School of
Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
- Department of Internal Medicine,
Korle-Bu Teaching Hospital, Accra, Ghana
| | - Ebenezer Owusu Darkwa
- Department of Anaesthesia, School of
Medicine and Dentistry, University of Ghana, Accra, Ghana
| | - Felix Abekah Botchway
- Department of Chemical Pathology, School
of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - Eric Sampene-Donkor
- Department of Medical Microbiology,
School of Biomedical and Allied Health Sciences, University of Ghana, Accra,
Ghana
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