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G6PD deficiency is
a common inherited enzyme disorder that affects the ability of red blood
cells to protect themselves from oxidative damage. It occurs due to mutations
in the G6PD gene, resulting in reduced levels of the glucose-6-phosphate
dehydrogenase enzyme. The condition is inherited in an X-linked pattern, making
it more common in males, although females can also be affected.
Many individuals with G6PD deficiency remain symptom-free until exposed to certain triggers. These may
include specific medications, severe infections, fava beans, or chemicals such
as naphthalene found in mothballs. Exposure to these triggers can cause rapid
destruction of red blood cells, known as haemolysis, leading to
symptoms such as sudden fatigue, pale skin, jaundice, dark urine, rapid
heartbeat, and shortness of breath. In newborns, G6PD deficiency may
also cause significant neonatal jaundice.
Diagnosis is confirmed
through enzyme activity testing and, when required, genetic analysis.
Management focuses on avoiding known triggers, treating infections promptly,
and educating patients about medications and foods that may provoke
haemolytic episodes. Severe cases may require blood transfusions or
supportive hospital care during acute haemolysis. With early diagnosis,
trigger avoidance, and appropriate medical guidance, most individuals with G6PD
deficiency can maintain good health and lead normal, active lives.