- G6PD deficiency is a hereditary disease characterized by insufficient glucose-6-phosphate dehydrogenase activity involved in the oxidative stress response of red blood cells.
- It occurs due to genetic factors, and certain foods, drugs, bacterial/viral infections, and physical stress can cause red blood cell damage.
- A deficiency in G6PD activity reduces the ability to protect red blood cells from oxidative damage, which can lead to hemolysis.
- The representative clinical manifestation is hemolytic anemia, and symptoms such as pallor, jaundice, dark urine, fatigue, dyspnea, splenomegaly, and tachycardia may occur.
- It is more common in males, and even with the same deficiency, symptoms may vary depending on exposure to triggers and individual enzyme activity levels.
- There may be no symptoms at all, but exposure to triggers can lead to acute hemolysis and symptoms of anemia.
- Diagnosis is centered on reviewing medical history and clinical presentation together with blood tests that evaluate G6PD activity.
- Immediately after acute hemolysis or during periods of high reticulocyte counts, enzyme test results may not fully reflect the actual deficiency; therefore, the need for retesting must be determined in conjunction with the clinical context.
- The core of management is avoiding substances that can trigger hemolysis, identifying and treating triggers such as infections, and monitoring the degree of anemia.
- Current treatment focuses on removing triggers and providing supportive management for the resulting hemolytic anemia, rather than correcting the deficiency itself.