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Metabolism Module: G6PD Deficiency Case Study
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Metabolism Module: G6PD Deficiency Case Study

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Questions and Answers

What symptoms did the 6-year old child present with?

  • Severe pallor, weakness, back pain, and persistent vomiting (correct)
  • Fever, cough, and joint pain
  • Severe headache and dizziness
  • Itchy rash and abdominal pain
  • What was found in the red cells upon microscopic examination?

  • Clumps of white material
  • Excessive reticulocytes
  • Dark pigmentation
  • Heinz bodies (correct)
  • What is the normal activity level of red cell G6P dehydrogenase?

  • 10% of the normal activity (correct)
  • 70% of the normal activity
  • 30% of the normal activity
  • 50% of the normal activity
  • What is the main function of glucose 6-phosphate dehydrogenase?

    <p>Oxidation of glucose 6-phosphate to C5 sugar phosphate and reduction of NADP+ to NADPH</p> Signup and view all the answers

    What is the main function of NADPH in the body?

    <p>Regenerating glutathione (GSH) and protecting against oxidative stress</p> Signup and view all the answers

    What led to the diagnosis of glucose 6-phosphate dehydrogenase deficiency?

    <p>Consumption of rice and fava bean</p> Signup and view all the answers

    What does an enzyme activity of 13 U/g tissue mean?

    <p>The enzyme can convert 13 micro-mol of substrate into product per minute in one gram of the tissue sample</p> Signup and view all the answers

    What biochemical evidence supports the presence of jaundice in the patient?

    <p>High levels of unconjugated bilirubin</p> Signup and view all the answers

    Why is the activity of glucose 6-phosphate dehydrogenase (G6PD) higher in red blood cells compared to other tissues?

    <p>To regenerate glutathione and protect against oxidative stress in red blood cells</p> Signup and view all the answers

    What evidence indicates the presence of anemia in the patient?

    <p>Elevated reticulocyte count</p> Signup and view all the answers

    Study Notes

    Glucose 6-Phosphate Dehydrogenase Deficiency

    • A 6-year-old child presented with symptoms (not specified).
    • Microscopic examination of red cells revealed abnormal red cell morphology.
    • Normal activity level of red cell G6PD is 150-200 U/g tissue.
    • The main function of glucose 6-phosphate dehydrogenase is to catalyze the first step of the pentose phosphate pathway.
    • The main function of NADPH in the body is to maintain the reduction state of glutathione, which helps protect red blood cells from oxidative damage.
    • Diagnosis of glucose 6-phosphate dehydrogenase deficiency was made due to low enzyme activity and presence of jaundice and anemia.

    Red Cell Enzyme Activity

    • An enzyme activity of 13 U/g tissue indicates severely deficient G6PD activity.
    • This reduced activity leads to impaired NADPH production, making red blood cells more susceptible to oxidative damage and hemolysis.

    Pathophysiology of Anemia and Jaundice

    • Biochemical evidence supporting jaundice includes elevated bilirubin levels (not specified).
    • Presence of anemia is indicated by reduced red blood cell count or hemoglobin level (not specified).
    • Higher G6PD activity in red blood cells compared to other tissues is due to the critical need for NADPH in maintaining red blood cell integrity.

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    Description

    Test your knowledge of G6PD deficiency with this case study of a 6-year-old child presenting with symptoms after consuming rice and fava beans. Explore the clinical manifestations, history, and examination findings to make a diagnosis.

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