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Table 23-15

SystemClinical Manifestations
HematologicHemolytic anemia (hemoglobin 7–8 g/dL)
Aplastic anemia
Leukocytosis
SpleenInfarction
Hyposplenism
Splenic sequestration
Central nervous systemStroke
Hemorrhage
Aneurysms
Meningitis
MusculoskeletalPainful episodes
Bone marrow hyperplasia
Avascular necrosis
Osteomyelitis
Bone infarcts
Skeletal deformity
Growth retardation
Cutaneous ulceration
CardiacCardiomegaly
Pulmonary hypertension
Cor pulmonale
Diastolic dysfunction
Cardiomyopathy
RenalPapillary necrosis
Glomerular sclerosis
Renal failure
PulmonaryAcute chest syndrome
Hypoxemia
Pulmonary infarction
Fibrosis
Asthma
Thromboembolism
Pneumonia
GenitourinaryPriapism
Infection
HepatobiliaryJaundice
Hepatitis
Cirrhosis
Cholelithiasis
Cholestasis
EyeRetinopathy
Hemorrhage
Visual loss
Immune systemImmunosuppression
Leukocytosis
PsychosocialDepression
Anxiety
Substance abuse
Opioid dependence