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In what clinical scenario would you consider liver transplant evaluation for a patient with sickle cell hepatopathy?

And should this be considered in conjunction with or sequentially with a bone marrow transplant as the actual cure for underlying hematologic disease?
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Hepatology · Johns Hopkins Medicine
Answered on

We have evaluated and transplanted patients with sickle cell hepatopathy with severe liver dysfunction but well-controlled sickle cell. These patients will typically have jaundice, coagulopathy, and biliary strictures. They should not have significant extrahepatic complications of the hematologic di...

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Pediatric Hematology/Oncology · FibroFighters Foundation
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I would do a concurrent stem cell transplant - in an effort to cure the underlying problem of sickle cell disease. Ideally, the same donor to prevent graft rejection.

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