Original Article


How to cite: Kroger FL et al. Aspects of the expert analysis in sickle cell disease. Persp Med Legal Pericia Med. 2019; 4(3).


submitted June 7th    accepted July 27th 2019

Fernanda Lima Kroger (1)

LATTES: http://lattes.cnpq.br/1225921482711960 – ORCID:  https://orcid.org/0000-0002-0233-9126

Lysla Cardoso Sudário (2)

LATTES: http://lattes.cnpq.br/1036927764552410 – ORCID: https://orcid.org/0000-0002-0425-3828

Olivia Franco dos Santos (3)

LATTES: http://lattes.cnpq.br/8545615311863028 – ORCID: https://orcid.org/0000-0002-0903-8748

Ianka Cristina Ernesto (4)

LATTES: http://lattes.cnpq.br/3425620376349839 – ORCID: https://orcid.org/0000-0002-9224-375X

Marina Schuffner Silva (4)

LATTES:  http://lattes.cnpq.br/1785784479363613 – ORCID:  https://orcid.org/0000-0002-6688-5097

Natália Cristina Sales de Paula (5)

LATTES: http://lattes.cnpq.br/3340558267222162 – ORCID: https://orcid.org/0000-0002-2178-3484

Daniela de Oliveira Werneck Rodrigues (5)

LATTES: http://lattes.cnpq.br/0213828680695864 – ORCID: https://orcid.org/0000-0003-3062-2954

Raquel Barbosa Cintra (6)

LATTES: http://lattes.cnpq.br/0110754349138042 -ORCID: http://orcid.org/0000-0001-9838-1312

(1) Faculdade de Medicina da Universidade de São Paulo, São Paulo-SP.

(2) Hospital e Maternidade Therezinha de Jesus, Juiz de Fora-MG.

(3) Universidade Federal de Juiz de Fora – UFJF, Juiz de Fora-MG.

(4)  Universidade Presidente Antônio Carlos – UNIPAC, Juiz de Fora-MG .

(5) Fundação Hemominas, Belo Horizonte-MG.

(6) Faculdade de Medicina da Universidade de São Paulo e Mogi das Cruzes, Mogi das Cruzes-SP.

E-mail: danielawerneckhemato@hotmail.com


Sickle cell disease (SCD) is an autosomal recessive monogenic hereditary pathology with high prevalence in Brazil, inserted in the International Classification of Diseases (CID 10) 10th edition, Chapter III: Diseases of blood and hematopoietic organs group D57. According to the Ministry of Health there are 25 to 30 thousand cases of SCD, with an incidence of 3,500 cases/year. Most patients with SCD have developed acute episodes that can lead to prolonged hospitalizations, periods of disability and severe complications that result in permanent work absence and disability retirement. The objective of this research was to verify the number of retirements by CID 10: D57 and the study of technical elements that may assist the expert in the preparation of the social security medical report for granting sickness benefit and disability retirement in SCD. A bibliographic survey was performed in the scientific databases, a search of quantitative data available in the yearbooks of the Ministry of Social Security and a methodological documentary analysis proposed by Bardin. From January to June 2019, according to data from the National Institute of Social Security, total disability pensions amounted to 168,749, of which 2.96% were granted with CID 10 D57. Considering the high prevalence of SCD, which makes it a public health problem, the social security aspect is a matter of extreme interest. Clinical history, expert examination, supported by reports from the attending physician, are the basis for the conclusion of the expertise regarding labor limitation, as the diagnosis of SCD alone does not imply disability.

Key words: Sickle Cell Disease, Absenteeism, Medical Leave, Expert Report, Forensic Medicine