• Life threatening complication of haemoglobinopathies
    • Get hypersplenism
    • Can result in severe pain & anaemia.
  • Characterised by acute Hb drop
    • RBCs captured in spleen
    • Tends to occur in infants with Homozygous HbS, or beta thalassemia
  • 10-15% mortality rate
    • Fast, often die before transfusions can be given
  • Management – transfusion
  • Splenectomy to treat and prevent recurrence