A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency

β-thalassaemia is one of the most prevalent autosomal disorders worldwide. Mutations/deletions in globin gene underlie deficiencies in Haemoglobin (Hb) production, which can interfere with oxygen delivery by Hb, resulting in thalassaemias causing anaemias with a wide range of disease severity. Glu...

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Main Authors: Jitendar Mohan Khunger, Monika Gupta, Ankur Jain, Monica Khunger Malhotra
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2020-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/14085/44968_CE[Ra1]_F(SL)_PF1(AG_KM)_PFA_NC(KM)_PN(SL).pdf
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author Jitendar Mohan Khunger
Monika Gupta
Ankur Jain
Monica Khunger Malhotra
author_facet Jitendar Mohan Khunger
Monika Gupta
Ankur Jain
Monica Khunger Malhotra
author_sort Jitendar Mohan Khunger
collection DOAJ
description β-thalassaemia is one of the most prevalent autosomal disorders worldwide. Mutations/deletions in globin gene underlie deficiencies in Haemoglobin (Hb) production, which can interfere with oxygen delivery by Hb, resulting in thalassaemias causing anaemias with a wide range of disease severity. Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is a genetic abnormality resulting in inadequate amount of G6PD in the Red Blood Cells (RBCs). In patients with G6PD deficiency, the reduced or absent activity of the enzyme in RBCs causes premature haemolysis and symptomatic anaemia. The marked oxidative stress caused by homozygous β-thalassaemia is apparently incompatible with G6PD deficiency. Here, a rare case of six-month-old male child is described who presented with severe pallor hepato-splenomegaly and these two conditions co-existed in this patient.
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spelling doaj.art-6052e5c55bde4355b03fd4665bc3b12e2022-12-21T18:58:18ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-10-011410ED01ED0310.7860/JCDR/2020/44968.14085A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase DeficiencyJitendar Mohan Khunger0Monika Gupta1Ankur Jain2Monica Khunger Malhotra3Consultant and Associate Professor, Department of Haematology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.Associate Professor, Department of Pathology, PGIMS, Rohtak, Haryana, India.Assistant Professor, Department of Haematology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.Hematology-Oncology Fellow, Division of Hematology and Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.β-thalassaemia is one of the most prevalent autosomal disorders worldwide. Mutations/deletions in globin gene underlie deficiencies in Haemoglobin (Hb) production, which can interfere with oxygen delivery by Hb, resulting in thalassaemias causing anaemias with a wide range of disease severity. Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is a genetic abnormality resulting in inadequate amount of G6PD in the Red Blood Cells (RBCs). In patients with G6PD deficiency, the reduced or absent activity of the enzyme in RBCs causes premature haemolysis and symptomatic anaemia. The marked oxidative stress caused by homozygous β-thalassaemia is apparently incompatible with G6PD deficiency. Here, a rare case of six-month-old male child is described who presented with severe pallor hepato-splenomegaly and these two conditions co-existed in this patient.https://jcdr.net/articles/PDF/14085/44968_CE[Ra1]_F(SL)_PF1(AG_KM)_PFA_NC(KM)_PN(SL).pdfanaemiahaemoglobinpallorred blood cells
spellingShingle Jitendar Mohan Khunger
Monika Gupta
Ankur Jain
Monica Khunger Malhotra
A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency
Journal of Clinical and Diagnostic Research
anaemia
haemoglobin
pallor
red blood cells
title A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency
title_full A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency
title_fullStr A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency
title_full_unstemmed A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency
title_short A Rare Case of Coexistence of Homozygous β-Thalassaemia and Glucose 6 Phosphate Dehydrogenase Deficiency
title_sort rare case of coexistence of homozygous β thalassaemia and glucose 6 phosphate dehydrogenase deficiency
topic anaemia
haemoglobin
pallor
red blood cells
url https://jcdr.net/articles/PDF/14085/44968_CE[Ra1]_F(SL)_PF1(AG_KM)_PFA_NC(KM)_PN(SL).pdf
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