Chronic hemolytic anemia associated with glucose 6-phosphate dehydrogenase (Guadalajara) 1159 C -> T (387 Arg -> Cys) deficiency associated with Gilbert syndrome in a Turkish patient


Oner R., Acar C., Oner C., Yenicesu I., Gumruk F., Gurgey A. , ...Daha Fazla

PEDIATRIC HEMATOLOGY AND ONCOLOGY, cilt.19, ss.39-44, 2002 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 19 Konu: 1
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1080/088800102753356176
  • Dergi Adı: PEDIATRIC HEMATOLOGY AND ONCOLOGY
  • Sayfa Sayıları: ss.39-44

Özet

The case of an 8-year-old male child with severe kernicterus sequelae is presented in this paper The child hemoglobin value varied between 6.0 and 10.8 g/dL and his reticulocyte count ranged between 3.4 and 46.0% during the steady-state condition and hyperhemolytic crisis, respectively. A chronic hemolytic type of red cell G6PD deficiency was diagnosed. DATA studies indicate that the mutation was G6PD Guadalajara 1159 C --> T (387 Arg -->. Cys) that is situated at the NADP binding site. Additionally, extra nucleotides of (TA) in the A(TA)(n) TAA motif of the promoter region of then ridine diphosphate-glucuronosyltransferase gene (UGT-1 A) were found to be homozygous in the patient. The coexistence of Gilbert syndrome with a chronic type of G6PD deficiency was suggested as a cause of neonatal hyperbilirubinemia leading to kernicterus.