Literature DB >> 23100967

Is red cell from an otherwise healthy G6PD-deficient donor efficient for transfusion to fauvism patients?

Omid Reza Zekavat1, Mehran Karimi, Fatemeh Rahmanian.   

Abstract

AIM: Glucose-6-Phosphate dehydrogenase (G(6)PD) deficiency is the most common X-linked defect of enzyme pathways in human. The aim of this study was to inspect the efficacy of G(6)PD deficient red cell transfusion to G(6)PD patients, who were admitted for hemolysis after Broad bean ingestion, and to find out whether prolong management program and retransfusion are needed as severe hemolysis would take place.
METHODS: This was a cross-sectional study, which was performed on patients admitted to hospital due to hemolytic anemia after broad bean ingestion in Jahrom and Shiraz medical school hospitals on February and March 2007. 2(ml) samples of transfusion blood bags, were sent to the laboratory in order to investigate the G(6)PD enzyme sufficiency. Hemoglobin level was checked six hours after blood transfusion. We compared the amount of hemoglobin level elevation after transfusion in patients received G(6)PD sufficient and G(6)PD deficient red cell using independent sample t-test. RESULT: In 114 transfused bags, 14 bags (12.3%) were G(6)PD deficient. We divided patients into two groups. Group A received G(6)PD sufficient red cell and group B were transfused with G(6)PD deficient red cell. Hemoglobin level was significantly raised after transfusion of red cell in each group. The amount of hemoglobin elevation was more in group A in comparison to group B.
CONCLUSION: Based on our study results, proper hemoglobin level would be achieved using non G(6)PD deficient red cell for transfusion to G(6)PD deficient patients.

Entities:  

Keywords:  Blood transfusion; G6PD deficiency; Glucose-6-Phosphate dehydrogenase enzyme; Hemolysis

Year:  2009        PMID: 23100967      PMCID: PMC3453486          DOI: 10.1007/s12288-009-0005-7

Source DB:  PubMed          Journal:  Indian J Hematol Blood Transfus        ISSN: 0971-4502            Impact factor:   0.900


  7 in total

1.  Molecular characterization of glucose-6-phosphate dehydrogenase deficiency in the Fars province of Iran.

Authors:  Mehran Karimi; Franco Martinez di Montemuros; Maria Gabriella Danielli; Shirin Farjadian; Abdolreza Afrasiabi; Gemino Fiorelli; Maria Domenica Cappellini
Journal:  Haematologica       Date:  2003-03       Impact factor: 9.941

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Authors:  A Mehta; P J Mason; T J Vulliamy
Journal:  Baillieres Best Pract Res Clin Haematol       Date:  2000-03

Review 3.  G6PD deficiency: its role in the high prevalence of hypertension and diabetes mellitus.

Authors:  R S Gaskin; D Estwick; R Peddi
Journal:  Ethn Dis       Date:  2001       Impact factor: 1.847

4.  Somatic-cell selection is a major determinant of the blood-cell phenotype in heterozygotes for glucose-6-phosphate dehydrogenase mutations causing severe enzyme deficiency.

Authors:  S Filosa; N Giacometti; C Wangwei; D De Mattia; D Pagnini; F Alfinito; F Schettini; L Luzzatto; G Martini
Journal:  Am J Hum Genet       Date:  1996-10       Impact factor: 11.025

5.  Detection of glucose-6-phosphate dehydrogenase deficiency in erythrocytes: a spectrophotometric assay and a fluorescent spot test compared with a cytochemical method.

Authors:  B H Wolf; R S Weening; R B Schutgens; C J van Noorden; I M Vogels; N J Nagelkerke
Journal:  Clin Chim Acta       Date:  1987-09-30       Impact factor: 3.786

6.  Posttransfusional hemolysis in recipients of glucose-6-phosphate dehydrogenase-deficient erythrocytes.

Authors:  O Shalev; N Manny; R Sharon
Journal:  Vox Sang       Date:  1993       Impact factor: 2.144

7.  Screening for glucose-6-phosphate dehydrogenase deficiency as a preventive measure: prevalence among 1,286,000 Greek newborn infants.

Authors:  S Missiou-Tsagaraki
Journal:  J Pediatr       Date:  1991-08       Impact factor: 4.406

  7 in total

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