Life expectancy is shortened for people with sickle-cell disease, though modern medicine has significantly lengthened the life expectancy of someone with this disease.
If fetal hemoglobin remains the predominant form of hemoglobin after birth, the number of painful episodes decreases in patients with sickle-cell disease.
People homozygous for the mutation have the sickle-cell disease, while those without the mutation (homozygous for the wild-type allele) do not have the disease.
In sickle-cell disease, low-oxygen tension promotes red blood cell sickling and repeated episodes of sickling damage the cell membrane and decrease the cell's elasticity.