Haptoglobin therapy for acute favism: a Japanese boy with glucose-6-phosphate dehydrogenase Guadalajara

Br J Haematol. 1995 Feb;89(2):421-3. doi: 10.1111/j.1365-2141.1995.tb03322.x.

Abstract

We report the case of a 2-year-old Japanese boy with acute favism who was treated with human haptoglobin products. He had been exhibiting chronic nonspherocytic haemolytic anaemia until the diagnosis of glucose-6-phosphate dehydrogenase (G6PD) deficiency when 14 months old. He suffered a favic crisis at 24 months of age, when the administration of haptoglobin was effective for relieving bilirubinaemia and haemoglobinuria. Serum-free Hb rapidly decreased to normal levels despite the sustained level of serum lactate dehydrogenase. His G6PD gene was G6PD Guadalajara. This is the first application of haptoglobin therapy for acute favism and the first reported case of Japanese G6PD deficiency with typical favic crisis. Haptoglobin treatment might be helpful for managing the haemolytic crisis in the disease.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Favism / complications
  • Favism / therapy*
  • Glucosephosphate Dehydrogenase Deficiency / complications
  • Glucosephosphate Dehydrogenase Deficiency / therapy*
  • Haptoglobins / therapeutic use*
  • Hemoglobins / analysis
  • Hemoglobinuria / therapy
  • Humans
  • Japan
  • Male

Substances

  • Haptoglobins
  • Hemoglobins