Anemia caused by an inherited deficiency of the glucose-6-phosphate dehydrogenase molecule, which leads to the destruction of red blood cells.
It can be triggered by infection, severe stress, medications (aspirin, anti-inflammatory drugs, etc.) and/or foods, including beans.
It usually causes no symptoms, although anemia may present with paleness, weakness, and dizziness. It is sometimes associated with fever and dark urine.
Diagnosis is based on clinical interview, physical examination, blood analysis, urinalysis, and blood tests (peripheral blood smear and crossmatch).
Treatment is based on stopping the cause, if known. Transfusions may be necessary. If there are signs of infection, antibiotics may be added to the treatment.
- Glader B. Hereditary hemolytic anemias due to red blood cell enzyme disorders. In: Wintrobe's Clinical Hematology, 13th edition, Greer JP, Arber D, Glader B, et al (Eds), Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia 2014. p.728.
- Cappellini MD, Fiorelli G. Glucose-6-phosphate dehydrogenase deficiency. Lancet 2008; 371:64.
- Nkhoma ET, Poole C, Vannappagari V, et al. The global prevalence of glucose-6-phosphate dehydrogenase deficiency: a systematic review and meta-analysis. Blood Cells Mol Dis 2009; 42:267.
- Lucio Luzzatto. Anemias hemolíticas y anemia consecutiva a hemorragia aguda. Anomalías del metabolismo de oxidación-reducción. Deficiencia de glucosa-6-fosfato deshidrogenasa (G6PD). Harrison. Principios de Medicina Interna, 19e. Capítulo 129. Pág: 654:657.

