Anemia in patients with coinherited thalassemia and glucose-6-phosphate dehydrogenase deficiency

Hemoglobin. 2013;37(6):536-43. doi: 10.3109/03630269.2013.819558. Epub 2013 Aug 14.

Abstract

Thalassemia and glucose-6-phosphate dehydrogenase (G-6-PD) deficiency are genetic disorders that cause hemolytic anemia. In areas with high frequencies of both hematological disorders, coinheritance of G-6-PD deficiency with thalassemia can be found. Whether G-6-PD deficiency, coinherited with thalassemia, enhances severe anemia is still unclear. Hematological parameters between thalassemia carriers with G-6-PD deficiency and those without G-6-PD deficiency were compared. The G-6-PD deficiency was diagnosed in 410 blood samples from thalassemia patients using a fluorescent spot test. The levels of hemoglobin (Hb), packed cell volume (PCV), mean corpuscular volume (MCV) and Hb A2/Hb E [β26(B8)Glu→Lys; HBB: c.79G>A] were measured using an automated blood counter and high performance liquid chromatography (HPLC), respectively. The G-6-PD deficiency was found in 37 samples (9.02%). Mean levels of Hb, PCV, MCV and Hb A2/E were similar between the two groups. Thus, G-6-PD deficiency did not enhance red blood cell pathology or induce more anemic severity in thalassemia patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anemia / diagnosis
  • Anemia / etiology*
  • Child
  • Child, Preschool
  • Female
  • Glucosephosphate Dehydrogenase / genetics
  • Glucosephosphate Dehydrogenase / metabolism
  • Glucosephosphate Dehydrogenase Deficiency / complications*
  • Glucosephosphate Dehydrogenase Deficiency / diagnosis
  • Glucosephosphate Dehydrogenase Deficiency / genetics*
  • Hemoglobin E / analogs & derivatives
  • Hemoglobin E / genetics
  • Hemoglobins / genetics
  • Hemoglobins / metabolism
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Thalassemia / complications*
  • Thalassemia / diagnosis
  • Thalassemia / genetics*
  • Young Adult
  • alpha-Thalassemia / complications
  • alpha-Thalassemia / diagnosis
  • alpha-Thalassemia / genetics
  • beta-Thalassemia / complications
  • beta-Thalassemia / diagnosis
  • beta-Thalassemia / genetics

Substances

  • Hemoglobins
  • glycosylated hemoglobin E
  • Hemoglobin E
  • Glucosephosphate Dehydrogenase