Proliferative sickle cell retinopathy associated with sickle cell trait and gestational diabetes: case report.
Proliferative sickle cell retinopathy is an uncommon complication in individuals with sickle cell trait (AS). However, the risk for proliferative retinopathy development is increased in patients with AS hemoglobinopathy associated with systemic conditions or ocular trauma. A case of a patient with AS hemoglobinopathy who developed proliferative sickle cell retinopathy after the occurrence of gestational diabetes and pregnancy-induced hypertension is reported. Hemoglobin electrophoresis revealed presence of A2 5.0%, S 35.0% and A 53.2%. The present case emphasizes the importance of evaluating systemic comorbidities in patients with sickle cell trait during pregnancy since sickle cell retinopathy can progress rapidly, as well as the importance of regular eye fundus examination in these patients.
Ribeiro
Jefferson Augusto Santana
JA
School of Medicine of Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Lucena
Daniel da Rocha
Dda R
Lucena
Levy da Rocha
Lda R
Jorge
Rodrigo
R
D000328:Adult; D016640:Diabetes, Gestational / Q000175:diagnosis*; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis*; D011247:Pregnancy; D012164:Retinal Diseases / Q000150:complications* / Q000175:diagnosis; D012805:Sickle Cell Trait / Q000150:complications*; D014792:Visual Acuity / Q000502:physiology