Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case

Background. Glucose-6-phosphate dehydrogenase deficiency is one of the most frequent enzyme defects leading to hemolysis. About 2% of Russian Federation population have this pathology. This clinical case demonstrates such complication of this disease as cholelithiasis.Clinical case description. Pati...

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Main Authors: Olga A. Bludova, Yaroslav M. Chuyko, Luibov E. Larina
Format: Article
Language:Russian
Published: Union of pediatricians of Russia 2023-03-01
Series:Педиатрическая фармакология
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Online Access:https://www.pedpharma.ru/jour/article/view/2271
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author Olga A. Bludova
Yaroslav M. Chuyko
Luibov E. Larina
author_facet Olga A. Bludova
Yaroslav M. Chuyko
Luibov E. Larina
author_sort Olga A. Bludova
collection DOAJ
description Background. Glucose-6-phosphate dehydrogenase deficiency is one of the most frequent enzyme defects leading to hemolysis. About 2% of Russian Federation population have this pathology. This clinical case demonstrates such complication of this disease as cholelithiasis.Clinical case description. Patient B., 17 years old, is followed up by hematologist for anemia due to glucose6-phosphate dehydrogenase deficiency. Biliary calculi were revealed in 2019. Skin and scleral icterus was noted during examination, as well as soreness in the right hypochondrium during palpation. Magnetic resonance cholangiopancreatography has shown two calculi in the distal parts of the ductus choledochus, gallstones, dilatation of the common hepatic and cystic ducts. Complete blood count: hyperchromic megalocytic anemia. Biochemical blood test: hyperbilirubinemia (mostly direct one) after 2 days of hospitalization. Endoscopic lithoextraction from ductus choledochus was performed. Drug therapy was prescribed. Positive dynamics were mentioned at control tests. The patient was discharged in a satisfactory condition on the 10th day.Conclusion. Adequate diagnosis and adequate management promote favorable disease outcome.
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spelling doaj-art-aa1e5a0df17347f5b4e58fb0c48891fd2025-08-20T03:19:39ZrusUnion of pediatricians of RussiaПедиатрическая фармакология1727-57762500-30892023-03-01201778010.15690/pf.v20i1.25211962Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical CaseOlga A. Bludova0Yaroslav M. Chuyko1Luibov E. Larina2Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityBackground. Glucose-6-phosphate dehydrogenase deficiency is one of the most frequent enzyme defects leading to hemolysis. About 2% of Russian Federation population have this pathology. This clinical case demonstrates such complication of this disease as cholelithiasis.Clinical case description. Patient B., 17 years old, is followed up by hematologist for anemia due to glucose6-phosphate dehydrogenase deficiency. Biliary calculi were revealed in 2019. Skin and scleral icterus was noted during examination, as well as soreness in the right hypochondrium during palpation. Magnetic resonance cholangiopancreatography has shown two calculi in the distal parts of the ductus choledochus, gallstones, dilatation of the common hepatic and cystic ducts. Complete blood count: hyperchromic megalocytic anemia. Biochemical blood test: hyperbilirubinemia (mostly direct one) after 2 days of hospitalization. Endoscopic lithoextraction from ductus choledochus was performed. Drug therapy was prescribed. Positive dynamics were mentioned at control tests. The patient was discharged in a satisfactory condition on the 10th day.Conclusion. Adequate diagnosis and adequate management promote favorable disease outcome.https://www.pedpharma.ru/jour/article/view/2271cholelithiasisglucose-6-phosphate dehydrogenase deficiencyhemolitic anemiacholedocholithiasisclinical case
spellingShingle Olga A. Bludova
Yaroslav M. Chuyko
Luibov E. Larina
Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case
Педиатрическая фармакология
cholelithiasis
glucose-6-phosphate dehydrogenase deficiency
hemolitic anemia
choledocholithiasis
clinical case
title Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case
title_full Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case
title_fullStr Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case
title_full_unstemmed Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case
title_short Hemolitic Anemia due to Glucose-6-Phosphate Dehydrogenase Deficiency Burdened by Cholelithiasis: Clinical Case
title_sort hemolitic anemia due to glucose 6 phosphate dehydrogenase deficiency burdened by cholelithiasis clinical case
topic cholelithiasis
glucose-6-phosphate dehydrogenase deficiency
hemolitic anemia
choledocholithiasis
clinical case
url https://www.pedpharma.ru/jour/article/view/2271
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AT luibovelarina hemoliticanemiaduetoglucose6phosphatedehydrogenasedeficiencyburdenedbycholelithiasisclinicalcase