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Unusual combination and existence of hemolytic anemias; Thalassemia and G6PD deficient anemia in female patient

American Journal of BioMedicine  Volume 2, Issue 11, Novermber 2014


Abdulhamza Rajooj Hmood; Rawaa Hatif Abd ; Basma Edan Kadhum ; Saeed H. Lafta; khadeejh Rajooj Hmood

Abstract

Beta-thalassemia intermedia exhibits feature of ineffective erythropoiesis and hemolytic anemia. Diagnosis can be made via hemoglobin electrophoresis. G6PD deficiency is an X-linked recessive disorder commonly affecting males while females are carrier. Diagnosis is made by measuring G6PD level. A 19-year old pregnant lady, known case of β-thalassemia intermedia, had been presented with episode of acute hemolytic anemia. Investigations were highly suggestive of G6PD deficient anemia. This was confirmed with low G6PD level. Back to her immediate history, consumption of broad bean was ascertained. After appropriate therapy, the patient felt better and her medical derangement was normalized. She delivered normally and kept on life-long folic acid therapy. The importance of recording such a case report is to expect unusual combination of hemolytic anemia despite the uncommon finding of X-linked recessive disorder in women. This was the first case recorded in Karbala province

Keywords: Beta-thalassemia; Erythropoiesis; G6PD; Hemolytic anemia


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