What We Treat

We are home to the country’s largest pediatric sickle cell disease program, caring for more than 1,800 children and young adults.

What is sickle cell disease?

Sickle cell disease is a genetic blood disorder that affects hemoglobin in red blood cells. Hemoglobin is a protein that carries oxygen to all parts of the body. Normal red blood cells are round and smooth. In a child with sickle cell disease, red blood cells are hard, sticky and shaped like a crescent.

The three most common types of sickle cell disease include:

  • Hemoglobin SS disease (also called sickle cell anemia)
  • Hemoglobin SC disease
  • Sickle cell beta thalassemia

Sicke cell complications

Sickled red blood cells stick together and block blood vessels, which case cause complications such as:

  • Acute chest syndrome: Sudden damage to lung tissue is common in children with sickle cell.
  • Aplastic crisis: The body stops making red blood cells for a short time, causing a drop in your child’s red blood count.
  • Fever and infection: a fever is usually a sign of infection. Infections are a medical emergency for a child with sickle cell disease.
  • Gallstones: A child with sickle cell has more bile (a liquid that is used to break down the fats we eat) than his gallbladder can hold. The extra bile causes gallstones. Gallstones can cause a yellow color of the skin or eyes (jaundice).
  • Jaundice: When fragile sickle cells break open, bilirubin (a yellow pigment in bile) leaks into the blood stream causing the skin eyes to turn yellow (jaundice).
  • Nephropathy: When sickle red blood cells get trapped inside the blood vessels of the kidneys, causing kidney damage.
  • Pain: Sickle red blood cells get stuck and block the flow of blood to parts of the body, such as the bones, lungs, spleen, brain, eyes and kidneys, causing pain.
  • Retinopathy: Sickle cell can damage the retina in the eyes.
  • Splenic sequestration crisis: The spleen suddenly gets swollen because sickle red blood cells block the blood vessels inside the spleen. This can lead to shock and is an emergency for children with sickle cell disease.
  • Stroke: A blockage or bleeding of the blood vessels can cause a loss of blood supply to part of the brain (a stroke). Strokes occur more often in children ages 2 to 5, but can occur at any age.

Services We Offer

Comprehensive services, technology and innovative research

Our focus is on prevention, treatment and follow-up care for sickle cell disease and its complications. We offer the following services to our patient families:

  • 24-hour acute care
  • Health maintenance services
  • Comprehensive clinics, located at three sites in metro Atlanta
  • Specialty clinics
  • Transfusion services
  • Newborn screening and follow-up
  • New patient evaluations
  • Genetic counseling: Helping parents understand sickle cell trait and how it can be passed along to their children
  • Patient counseling and education: Teaching families tips on how to prevent infections, pain and other health problems related to sickle cell disease
  • Teachers to help prevent school disruption from missed days
  • Child life services to help with anxiety during procedures or interactions
  • Social work services to provide outside resources

Just as important, we offer innovative services, technology and research to manage—and even cure—sickle cell disease.

  • Stem cell transplant: The only potential cure for sickle cell disease. We are a national leader in transplanting stem cells for children with sickle cell disease.
  • Hydroxyurea: A medicine that can help reduce sickle cell symptoms and improve quality of life. It helps red blood cells stay soft, round and slippery.
  • Transcranial doppler (TCD) screening: To evaluate patients for stroke risk.
  • Clinical trials: We are searching for better treatments, prevention and cures through our research efforts.

Learn more about BMT for sickle cell disease

Our Unique Approach

We are the largest pediatric sickle cell disease program in the country, caring for more than 1,800 children and young adults. Combining the latest proven technology and research with a caring, child-friendly approach, makes the Aflac Cancer and Blood Disorders Center a top choice for the treatment of sickle cell disease.

Our highlights

  • In 2016, we provided care for 1,848 children with sickle cell disease – including more than 8,000 clinic visits, 3,700 emergency room visits and 1,700 hospitalizations.  
  • We offer a program for our adolescent and young adult patients to help smooth the transition to an adult-care provider.
  • We are a member of the Atlanta Sickle Cell Consortium—a citywide effort to advance treatment and find a cure for sickle cell disease.
  • We are a national leader in curing patients with sickle cell disease through blood and marrow transplantation (BMT). We have cured 73 children.
  • At each of our locations, care is provided by a specialized multidisciplinary team of pediatric hematologists, nurse practitioners, nurses, social workers, psychologists, teachers, and chaplains. 

Research

  • We work with experts and treatment centers nationwide to conduct clinical research studies focusing on improving the quality of life and reducing complications for children with sickle cell disease.
  • Our annual research funding from federal agencies and private foundations exceeds $4,000,000 and includes a National Institutes of Health (NIH)-funded Excellence in Hemoglobinopathies Research Award to develop new treatments for sickle cell disease.
  • We are currently evaluating new treatments to reduce the severity and duration of severe episodes of severe pain.
  • We are leading an international study of the long-term outcomes and late effects of BMT for patients with sickle cell disease.
  • We are the lead center of multi-center consortium that is developing and conducting clinical trials to improve the effectiveness and reduce complications of BMT for patients with sickle cell disease.
  • We are one of a select group of centers offering gene therapy for sickle cell disease.

Meet the Team

Meet our sickle cell team

Led by Clinton Joiner, MD, Director of Hematology, our Sickle Cell team includes the following providers:

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Before your visit

Learn how to prepare for your visit to the Aflac Cancer Center, including information about our transitional housing options for families traveling from outside of Atlanta.

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Camps, events and support groups

Camps, retreats and other events offer many therapeutic benefits for children and families who are dealing with serious illness.

Camps, events and support groups

Second opinions and international services

We understand you want to be certain your child is receiving the best possible treatment available anywhere in the world. Second opinions can help provide the information you need to make an informed decision about the treatment for your child. For families traveling outside the U.S., we are here to help meet your unique needs and challenges.

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