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What are the characteristic findings associated with G6PDH deficiency?

A) Schistocytes and target cells
B) Heinz bodies and Bite cells
C) Howell-Jolly bodies and spherocytes
D) Acanthocytes and basophilic stippling

1 Answer

3 votes

Final answer:

G6PD deficiency is characterized by the presence of Heinz bodies and Bite cells in red blood cells, resulting from oxidative damage. This condition is most common in males due to its X-linked inheritance pattern. It necessitates avoidance of triggers like certain foods and medications to prevent hemolytic anemia and jaundice.

Step-by-step explanation:

The characteristic findings associated with Glucose-6-phosphate dehydrogenase (G6PD deficiency) include the presence of Heinz bodies and Bite cells in the blood. Heinz bodies are aggregates of denatured hemoglobin caused by oxidative damage to red blood cells, which can be seen in a blood film during a complete blood count. Bite cells result from the removal of Heinz bodies by splenic macrophages. G6PD is vital in the pentose phosphate pathway for maintaining the level of glutathione, which protects red blood cells from oxidative damage. A deficiency leads to reduced glutathione, causing vulnerability to hemolytic anemia in situations of oxidative stress, including severe infection, ingestion of certain foods like fava beans, and exposure to specific medications.

Patients with G6PD deficiency are usually male due to the X-linked pattern of inheritance. Nonetheless, female carriers can be clinically affected due to lyonization, which can cause a mild to severe form of the deficiency, with the more severe forms being rare. Individuals at risk of hemolytic anemia need to avoid foods and medicines that could trigger oxidative damage to their glutathione-deficient red blood cells, thus preventing the condition from escalating to severe jaundice.

Overall, the condition is the most common enzyme-deficiency disorder, particularly among African-American males, and can confer a protective advantage against malaria, making carriers less prone to malaria infection, which can affect fitness in areas where malaria is endemic.

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