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favism
Acute hemolytic anemia secondary to ingestion of fava beans or inhalation of its dust in patients with glucose-6-phosphate dehydrogenase deficiency.
Epidemiology: Caucasians of Mediterranean ancestry
Clinical manifestations:
1) mild fever
2) back pain
3) jaundice
4) fatigue
5) pallor
6) tachycardia
7) dark red urine
Laboratory:
1) complete blood count (CBC): normocytic normochromic anemia
2) reticulocyte count: reticulocytosis
3) serum bilirubin: hyperbilirubinemia
4) urinalysis: hemoglobinuria
5) diminished erythrocyte glucose-6-phosphate dehydrogenase in serum (serum G6PD)
General
glucose-6-phosphate dehydrogenase [G6PD] deficiency; chronic non-spherocytic hemolytic anemia (CNSHA)
References
- DeGowin & DeGowin's Diagnostic Examination, 6th edition,
RL DeGowin (ed), McGraw Hill, NY 1994, pg 885
- Luzzatto L, Arese P
Favism and Glucose-6-Phosphate Dehydrogenase Deficiency.
N Engl J Med 2018; 378:60-71. January 4, 2018
PMID: 29298156
http://www.nejm.org/doi/full/10.1056/NEJMra1708111