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acute chest syndrome: the role of erythro-exchange in patients with sickle cell disease in sicily.acute chest syndrome (acs) describes a syndrome characterized by the presence of a new pulmonary infiltrate on a chest x-ray, fever, and respiratory symptoms and is the leading cause of death and hospitalization in sickle cell disease (scd). we studied 21 patients affected by scd (13 hbsbeta+, 4 hbs beta(o), 4 hbss, mean age 38.2 years). six out of the 21 patients developed one episode of acs (two patients had positive blood cultures, for mycoplasma pneumoniae and haemophilus influenzae respecti ...200312877891
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