How is sickle cell disease diagnosed ? Explore the advanced diagnostic tests, genetic evaluations, and pre-transplant screenings offered at Liv Hospital Turkey.

We're Here to Help.
Get in Touch.

Send us all your questions or requests, and our expert team will assist you.

Doctors

Diagnosis and Evaluation

Precision Testing for Better Outcomes

sickle cell

A precise and timely sickle cell diagnosis is the foundation of any successful treatment plan. Because sickle cell disease (SCD) is a genetic condition that affects the very structure of hemoglobin, diagnostic procedures must go beyond simple blood counts. At Liv Hospital, we utilize high-precision laboratory technologies to identify the specific genotype of the disease and evaluate the health of vital organs.

For our international patients, the evaluation process is two-fold: first, we confirm the exact type of sickle cell disease; second, we perform a “fitness-for-treatment” assessment. This ensures that every patient, whether they are seeking chronic management or a curative stem cell transplant, receives a plan tailored to their unique biological profile.

Icon LIV Hospital

How is sickle cell diagnosis confirmed through blood testing?

Sickle Cell

The most common way to diagnose sickle cell disease is by analyzing the types of hemoglobin in the red blood cells. In a standard clinical setting, this is done through a series of specialized blood tests. At Liv Hospital, we use advanced methodologies to ensure 100% accuracy in identifying the variant of the disease.

The primary tests include:

  • Hemoglobin Electrophoresis: This test uses an electric current to separate the different types of hemoglobin. It can clearly show the presence of Hemoglobin S (the sickle variant) and Hemoglobin A (normal adult hemoglobin).
  • High-Performance Liquid Chromatography (HPLC): This is a more sensitive version of electrophoresis that provides a detailed percentage of each hemoglobin type, which is crucial for monitoring treatment progress.
  • Complete Blood Count (CBC): While not diagnostic on its own, a CBC helps us evaluate the degree of anemia and the health of white blood cells and platelets.
Icon 1 LIV Hospital

Why is genetic testing essential for sickle cell evaluation?

Sickle Cell

Since sickle cell disease is inherited, genetic testing provides the “blueprint” of the condition. While protein-based blood tests show us what is happening in the blood now, genetic testing confirms the underlying mutation. This is particularly important for differentiating between severe forms like HbSS and milder variations like HbSC or Sickle Beta-Thalassemia.

At Liv Hospital, genetic evaluation serves several purposes:

  1. Definitive Confirmation: It removes any ambiguity in complex cases where blood protein levels might be misleading due to recent transfusions.
  2. Family Screening: We offer genetic counseling for family members to determine if they carry the sickle cell trait.
  3. Donor Matching: For patients considering a stem cell transplant, genetic mapping is the first step in finding a compatible HLA (Human Leukocyte Antigen) donor within the family.

How do doctors evaluate organ damage in sickle cell patients?

Sickle Cell Trait: Key Facts & FAQs

A sickle cell diagnosis is not complete until we understand how the disease has affected the rest of the body. Because sickled cells can block blood flow to any organ, we conduct a comprehensive “organ mapping” evaluation. This is a standard part of the intake process for international patients at Liv Hospital.

Common evaluation procedures include:

  • Transcranial Doppler (TCD) Ultrasound: This specialized scan measures the speed of blood flow in the brain’s arteries. High speeds indicate a high risk of stroke, particularly in children.
  • Echocardiogram: We check for signs of pulmonary hypertension or heart strain caused by chronic anemia.
  • Renal and Hepatic Function Tests: Blood and urine tests to see how well the kidneys and liver are filtering waste.
  • Eye Exams: Specialized retinal scans to check for “sickle retinopathy,” which can lead to vision loss if untreated.

What should international patients expect during the evaluation at Liv Hospital?

Traveling for medical care can be daunting, which is why Liv Hospital has streamlined the diagnostic journey for patients coming from the US and elsewhere. Our “Evaluation Week” is designed to be efficient yet exhaustive.

Upon arrival, patients meet with a multidisciplinary team including a hematologist, a cardiologist, and a transplant coordinator. We review all previous medical records and perform fresh diagnostic scans in our JCI-accredited labs. This consolidated approach ensures that we have a 360-degree view of the patient’s health before any major treatment decisions are made. This period also includes a detailed consultation where the results are explained in plain English, ensuring the family is fully empowered.

What are the indications for a pre-transplant evaluation?

Sickle Cell Anemia

If the initial sickle cell diagnosis and organ screening suggest that the disease is progressing despite medication, we move to a pre-transplant evaluation. This is a highly specialized set of tests to determine if the patient is a candidate for a curative bone marrow transplant.

Key components of this evaluation include:

  • HLA Typing: Testing the patient and potential siblings to find a “10 out of 10” tissue match.
  • Pulmonary Function Tests: To ensure the lungs are strong enough for the conditioning phase of the transplant.
  • Psychological Assessment: To ensure the patient and family are prepared for the intensive recovery period.
  • Infectious Disease Screening: A thorough check for any latent infections that could complicate the transplant process.

30 Years of
Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical

Book a Free Certified Online
Doctor Consultation

Clinics/branches
Prof. MD. Gökhan Erdem Prof. MD. Gökhan Erdem Stem Cell Overview and Definition
Group 346 LIV Hospital

Reviews from 9,651

4,9

Was this article helpful?

Was this article helpful?

We're Here to Help.
Get in Touch.

Send us all your questions or requests, and our expert team will assist you.

Doctors

FREQUENTLY ASKED QUESTIONS

Can sickle cell be diagnosed during pregnancy?

Yes, prenatal diagnosis is possible through amniocentesis or chorionic villus sampling (CVS). This allows parents to know if the baby will have the disease or the trait before birth.

The diagnosis requires a standard blood draw from a vein, which involves a brief sting. For children, we use numbing creams to make the process as comfortable as possible.

Basic blood tests like electrophoresis are usually available within 24-48 hours. More complex genetic testing or HLA matching may take 1-2 weeks.

The genetic diagnosis (your genotype) never changes. However, the clinical “evaluation” of your health such as the status of your organs changes constantly, which is why regular check-ups are vital.

We review all previous records to understand your medical history, but we typically perform our own specialized tests upon arrival to ensure our surgical and hematological teams have the most current data.

Spine Hospital of Louisiana

Let's Talk About Your Health

BUT WAIT, THERE'S MORE...

Leave your phone number and our medical team will call you back to discuss your healthcare needs and answer all your questions.

Let's Talk About Your Health

How helpful was it?

helpful
helpful
helpful
Your Comparison List (you must select at least 2 packages)