Hyposplenism

Question 1

What are the causes of hyposplenism

Answer 1

Sickle cells disease (chronic sickling and microinfarction in the spleen in infancy)
Coeliac disease
Splenectomy:
- Trauma
- Metabolic conditions
Haematological conditions

Question 2

What is the mangement for hyposplenism

Answer 2

Prophylactic antibiotics e.g. penicillin
Prompt evaluation and treatment of fevers
Vaccination: pneumococcal vaccination
Advice to parents regarding other risks
- Malaria
- Dog bites