"They were of every kind of distorted shape and unlikely size and Elric was reminded a little of the beggar populace of Nadsokor, for these, too, were dressed in rags and bore the evidence of self-mutilation, as well as disease, wounding and ordinary neglect."
"We do know that the distorted shape of sickled cells is recognized as abnormal by the spleen, and the cells are destroyed more quickly than usual, leading to anemia."