0
ARTICLE |

Sickling Tests: Title and subTitle BreakPitfalls in Performance and Interpretation FREE

Rose G. Schneider, PhD; Jack B. Alperin, MD; Hermann Lehmann, MD
[+] Author Affiliations

Reprint requests to Department of Pediatrics, University of Texas Medical Branch, Galveston 77550 (Dr. Schneider).


JAMA. 1967;202(5):419-421. doi:10.1001/jama.1967.03130180085017
Text Size: A A A
Published online

Testing for erythrocyte sickling is a common procedure in many laboratories, and it is generally considered simple to perform and interpret. Nevertheless, we frequently receive reports which are found to be falsely positive or falsely negative, and such incorrect data have even been recorded in connection with investigations on the abnormal hemoglobins.1 Recent discoveries of the existence of several dozen hereditary hemoglobin variants and the development of methods for their identification have made possible the recognition of many previously unknown hemoglobinopathies. Although such recognition depends largely on electrophoretic and genetic data, sickling tests often provide a valuable rapid diagnostic aid. The purpose of this paper is to describe conditions under which the reliability of these tests is frequently impaired.

Precautions for Accuracy.—  Obviously, the blood sample for testing must be the patient's own, unmixed with that of a donor. Yet, we receive a surprising number of samples which were

REFERENCES

Choremis, C., et al:  Sickle-Cell Trait and Blood-Groups in Greece . Lancet 2:909-911 ( (Oct 31) ) 1953;.
Perutz, M.F.; Liquori, A.M.; and Eirich, F.:  X-Ray and Solubility Studies of the Haemoglobin of Sickle-Cell Anaemia Patients , Nature 167:929-931 ( (June 9) ) 1951;.
Isaacs, R.:  Sickling: A Property of All Red Blood Cells , Science 112:716-718 ( (Dec 15) ) 1950;.
Atwater, J., et al:  Sickling of Erythrocytes in a Patient With Thalassemia-Hemoglobin-I Disease , New Eng J Med 263:1215-1223 ( (Dec 15) ) 1960;.
Schneider, R.G., et al:  Hemoglobin I in an American Negro Family: Structural and Hematologic Studies , J Lab Clin Med 68: 940-946 ( (Dec) ) 1966;.
Schneider, R.G., et al:  Hemoglobin G Coushatta: A New Variant in an American Indian Family , Science 143:697-698 ( (Feb 14) ) 1964;.
Haggard, M.E., and Schneider. R.G.:  Sickle Cell Anemia in the First 2 Years of Life , J Pediat 58:785-790 ( (June 5) ) 1961;.
Kitchen, H.; Putnam, F.W.; and Taylor, W.J.:  Hemoglobin Polymorphism: Its Relation to Sickling of Erythrocytes in White-Tailed Deer , Science 114:1237-1239 ( (June 5) ) 1964;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Choremis, C., et al:  Sickle-Cell Trait and Blood-Groups in Greece . Lancet 2:909-911 ( (Oct 31) ) 1953;.
Perutz, M.F.; Liquori, A.M.; and Eirich, F.:  X-Ray and Solubility Studies of the Haemoglobin of Sickle-Cell Anaemia Patients , Nature 167:929-931 ( (June 9) ) 1951;.
Isaacs, R.:  Sickling: A Property of All Red Blood Cells , Science 112:716-718 ( (Dec 15) ) 1950;.
Atwater, J., et al:  Sickling of Erythrocytes in a Patient With Thalassemia-Hemoglobin-I Disease , New Eng J Med 263:1215-1223 ( (Dec 15) ) 1960;.
Schneider, R.G., et al:  Hemoglobin I in an American Negro Family: Structural and Hematologic Studies , J Lab Clin Med 68: 940-946 ( (Dec) ) 1966;.
Schneider, R.G., et al:  Hemoglobin G Coushatta: A New Variant in an American Indian Family , Science 143:697-698 ( (Feb 14) ) 1964;.
Haggard, M.E., and Schneider. R.G.:  Sickle Cell Anemia in the First 2 Years of Life , J Pediat 58:785-790 ( (June 5) ) 1961;.
Kitchen, H.; Putnam, F.W.; and Taylor, W.J.:  Hemoglobin Polymorphism: Its Relation to Sickling of Erythrocytes in White-Tailed Deer , Science 114:1237-1239 ( (June 5) ) 1964;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.