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Details

Hematology
Internal Med
7
Science
Graduate
10/05/2015

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Cards

Term
X-linked recessive d/o commonly seen in American black males & some Mediterranean populations
Definition
G6PD deficiency
Term
Causes of G6PD deficiency
Definition
  • oxidative drugs (ASA, dapsone, primaquine, quinidine, sulfonamides, macrobid)
  • fava bean ingestion
  • infection 

cause episodic hemolysis

Term
Severe G6PD deficiency can cause...
Definition
chronic hemolysis (instead of episodic)
Term
G6PD deficiency: patients with episodic hemolysis usually are...
Definition

healthy an have no splenomegaly

female carriers rarely are affected

Term
Laboratory findings G6PD deficiency
Definition
  • during hemolytic episodes, retics, & serum indirect bili increase
  • PBS reveals bite cells & heinz bodies (denatured Hgb)
  • G6PD levels will be low between hemolytic episodes
  • in severe cases G6PD levels will always be low
Term
Treatment of G6PD deficiency
Definition
  • hemolytic episodes are self-limited as red cells are replaced as soon as the offending agent is stopped
  • oxidative drugs and fava beans should be avoided
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