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Condition Info
ConditionName
G6PD deficiency
ConditionDescription
Symptoms
Sudden onset of hemolytic anemia; Jaundice; Fatigue
PhysicalFindings
ClinicalTests
Best initial test: peripheral smear (Heinz bodies and bite cells) Most accurate: G6PD level (low) But after hemolysis is normal, wait for few weeks
RiskFactors
X-linked recessive (mostly male); Afro-Americans; Mediterranean males; Main causes: Isoniazid; Sulfa drugs; Nitrofurantoin; Fava beans;
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
Inability to generate glutathione reductase and protect red cells from oxidant stress (mostly infections)
TreatmentOptions
Avoid oxidative stress!
PharmOptions
WebLink
https://www.merckmanuals.com/en-ca/professional/hematology-and-oncology/anemias-caused-by-hemolysis/glucose-6-phosphate-dehydrogenase-g6pd-deficiency
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