Physiology & Biochemistry · single question

In the management of sickle cell anemia, which intervention helps IMPROVE (decrease severity of) sickle cell crises?

  1. Increasing HbS concentration
  2. Decreasing HbF (fetal hemoglobin) levels
  3. Increasing HbF levels with hydroxyurea
  4. Reducing hydration to decrease blood volume
Show answer and explanation

Correct answer: C. Increasing HbF levels with hydroxyurea

Hydroxyurea increases fetal hemoglobin (HbF), which does not polymerize with HbS. This reduces the proportion of HbS available to sickle, decreasing the frequency and severity of painful crises, acute chest syndrome, and need for transfusions. Maintaining adequate hydration is also critical. Dehydration worsens sickling by concentrating HbS.

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