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December 4, 2025Journal of Clinical MedicineOpen Access

Chronic Hydroxyurea Therapy in Children with Sickle Cell Anemia: Mechanisms of Action, Systemic Effects, and Long-Term Safety

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Authors

MBMartina BerzieriGCGiulia CarboneDCDavide Ciriaco

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Overview

Review highlights the long-term safety and mortality improvement with Hydroxyurea in children, suggesting neuroprotective benefits and monitoring for adverse events.

Key Points

  • Chronic Hydroxyurea therapy significantly reduces mortality in children with sickle cell disease, improving overall life quality.
  • Analysis revealed lowered leukocyte counts, reduced acute chest syndrome, and enhanced red blood cell deformability with treatment.
  • Literature review across multiple studies demonstrated benefits in neuroprotective effects and modulation of inflammatory pathways.
  • Long-term Hydroxyurea usage shows no malignancy risk, with adverse events primarily being dose-dependent and manageable.

Cite This Study

Berzieri et al. (2025) studied this question.

synapsesocial.com/papers/694023fa2d562116f28fdc3ahttps://doi.org/10.3390/jcm14238599
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Indian experience with hydroxyurea in sickle cell disease: A 25-year systematic review2025 · 1 citations
  2. 2Systematic literature review on hydroxyurea treatment of sickle cell disease in low- to Middle-income countries2026
  3. 3Evaluation of hydroxyurea effect in patients with sickle cell disease: A prospective observational study2026
  4. 4Hydroxyurea: Modifier of pathophysiology in sickle cell anemia2018 · 1 citations
  5. 5A61-09 Therapeutic Reversal of Hypoxemia With Hydroxyurea in Sickle Cell Disease2026