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» LymeNet Flash » Questions and Discussion » Medical Questions » What is G6PD deficiency ??

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Author Topic: What is G6PD deficiency ??
DakotasMom01
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I copied this from a post by Sarah/ Calalyme.

""I am allergic to sulfa too- have you heard of the G6PD deficiency? one sign of that is allergy to sulfa drugs- because you are allegic to sulfa drugs you should get a simple blood test to see if you have that because it could make a big deal with what kind of Babs meds you could take or not""

Can some one explain what the deficinacy is or provide a link??

Does it cause other problems, besides limiting the abx you can take?


I am also allergic to sulfas or so I was told....But looking way back it may have been a herx? Thanks.

--------------------
Take Care,
DakotasMom01

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TerryK
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Info from the book "The Diagnosis and Treatment of Babesia"
Appendix B
Babesia and G6PD problems can look the same.

As many as hundreds of millions of people worldwide have some degree of G6PD deficiency. It can cause red blood cells to rupture in a way similar to most species of babesia. If one has this problem, medications as simple as aspirin or foods as basic as certain bean types can cause red blood cells to rupture.

Some have no symptoms and some have marked symptoms. Depending on your genetics, you could have a few red blood cells rupture or a lot.

This should be checked in anyone with possible babesia.

The test:
Glucose 6-phosphate Dehydrogenase (G-6-PD), Quantitative, Blood and Red Blood Cell Count (CBC)

The LabCorp number is 001917

More details from CaLyme
http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=062064

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DakotasMom01
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Thank you Terry.

This sure explains a few things!

--------------------
Take Care,
DakotasMom01

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CaliforniaLyme
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It is an enzyme deficiency that exists in all peoples of all countries but has higher rates in people of certain genetic backgrounds.

If you are G6PD deficient you will be allergic to sulfa drugs and depending on the kind of deficiency you have you will have reactions to certain other drugs & substances- like mothballs- fava beans- that can vary between a chronic fatigue response and hemolytic anemia.

If you are G6PD deficient and become ILL with a disease like Lyme, you may APPEAR to have blood negative Babesiosis but it could be just an activated deficiency sstate- and if you treated it with anti-malarials you could get hemolytic anemia-

It is a simple blood test to check!!!
It is most common in African Americans, but that is the least lethal kind. It is common in South Asians & Asians, people of mediterranean ancestry, of arab ancestry- of jewish ancestry-

it is RARE in northern european genes but it DOES happen in EVERY population just in smaller numbers/rates-

For some peopel even aspirin can be a G6PD trigger! Can make you feel sick-

ANyway- here is a site-
http://www.g6pd.org/favism/english/index.mv

Best wishes,
Sarah

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

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CaliforniaLyme
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Different genetic subtypes have to avoid different triggers-
**********************************
Drugs & Foodstuffs to avoid-

Miscellaneous elements besides drugs that should be avoided
Fava Beans
(Some, but only some, prefer also to avoid red wine, all legumes, blueberries also yogurts containing these, soya products, tonic water).

DRUGS AND FOODSTUFF TO AVOID
Drug names in red are of high risk to all deficiency types.

Name Molecular Forumla Risk Level j For whom
Acetanilide (acetanilid) C8 H9 N O High Medit., Asian
Acetylphenylhydrazine (2-Phynylacetohydrazide)c C8 H10 N2 O High All
Aldesulfone sodium (sulfoxone) C14 H14 N2 Na2 O6 S3 High All
Aminophenazone (aminopyrine) C13 H17 N3 O Low All
Antazoline (antistine) C17 H19 N3 Low All
Arsinec As-H3 High All
Ascorbic Acid C6 H8 O6 Low All
Beta-Naphthol (2-Naphthol) C10 H8 O High All
Chloramphenicol C11 H12 C12 N2 O5 High Medit., Asian
Chloroquined C18 H26 Cl N3 High Medit., Asian
Ciprofloxacinb C17 H18 F N3 O3 High Medit., Asian
Colchicine C22 H25 N O6 Low All
Dapsone (diaphenylsulfone)c C12 H12 N2 O2 S High All
Dimercaprol C3 H8 O S2 High All
Diphenhydramine (difenilhydramine) C17 H21 N O Low All
Dopamine (L-dopa) C8 H11 N O2 Low All
Doxorubicin C27 H29 N O11 High Medit., Asian
Furazolidone C8 H7 N3 O5 High All
Glibenclamideb C32 H28 Cl N3 O5 S High Medit., Asian
Glucosulfone (glucosulfone sodium) C24 H34 N2 Na2 O18 S3 High All
Isobutyl Nitrite C4 H9 N O2 High Medit., Asian
Isoniazid C6 H7 N3 O Low All
Menadiol Sodium Sulfate (Vitamin k4 sodium sulfate)f C11 H8 Na2 O8 S2 High All
Menadione (menaphtone)f C11 H8 O2 High All
Menadione sodium Bisulfite (Vitamin K3 sodium bisulfite)f C11 H8 O2 NaHSO3 High All
Mepacrine (Quinacrine) C23 H3O Cl N3 O High Medit., Asian
Mesalazine - 5-Aminosalicylic Acid (paraminosalicylic acid) C7 H7 N O3 High Medit., Asian
Methyltioninium Chloride (methylene blue) C16 H18 Cl N3 S High All
Nalidixic Acidb C12 H12 N2 O3 High Medit., Asian
Naphtalene, Pure (naphtalin) C10 H8 High All
Niridazole C6 H6 N4 O3 S High All
Nitrofural (nitrofurazone) C6 H6 N4 O4 High All
Nitrofurantoin C8 H6 N4 O5 High All
Norfloxacin C16 H18 F N3 O3 Low All
O-Acetylsalicylic Acid (acetylsalicylic acid)a C9 H8 O4 High Medit., Asian
Oxidase, Urate (urate oxidase) High Medit., Asian
Pamaquine C42 H45 N3 O7 High All
Para-Aminobenzoic Acid (4-Aminobenzoic Acid) C7 H7 N O2 Low All
Paracetamol (acetaminophen) C8 H9 N O2 Low All
Pentaquine C18 H27 N3 O High All
Phenacetin (acetophenetidin)e C10 H13 N O2 High Medit., Asian
Phenazone (antipyrine) C11 H12 N2 O Low All
Phenazopyridine C11 H11 N5 High Medit., Asian
Phenylbutazone C19 H20 N2 O2 Low All
Phenytoin C19 H20 N2 O2 Low All
Phynylhydrazinec C6 H8 N2 High All
Phytomenadione (Vitamin K1) C31 H46 O2 Low All
Primaquineg C15 H21 N3 O High All
Probenecid C13 H19 NO4 S High All
Procainamide C13 H21 N3 O Low All
Proguanil (chlorguanidine) C11 H16 Cl N5 Low All
Pyrimethamine C12 H13 Cl N4 Low All
Quinidine C20 H24 N2 O2 Low All
Quinine C20 H24 N2 O2 Low All
Stibophen (2-(2-Oxido-3,5-Disulphonatophenoxy)-1,3,2,Benzodioxastibole-4-6-Disulphonate) C12 H4 Na5 O16 S4 Sb High All
Streptomycin C21 H39 N7 O12 Low All
Sulfacetamide C8 H10 N2 O3 S High All
Sulfacytine C12 H14 N4 O3 S Low All
Sulfadiazine C10 H10 N4 O2 S Low All
Sulfadimidine C12 H14 N4 O2 S High All
Sulfafurazole (sulfafurazone, sulfisoxazole) C11 H13 N3 O3 S High Medit., Asian
Sulfaguanidine C7 H10 N4 O2 S Low All
Sulfamerazine C11 H12 N4 O2 S Low All
Sulfamethoxazoleh C10 H11 N3 O3 S High All
Sulfamethoxypyridazine C11 H12 N4 O3 S Low All
Sulfanilamide (Sulphanilamide) C6 H8 N2 O2 S High All
Sulfapyridine C11 H11 N3 O2 S High All
Sulfasalazine, Salazosulfapyridine (salazopyrin) C18 H14 N4 O5 S High All
Thiazosulfone (thiazolesulfone) C9 H9 N3 O2 S2 High Medit., Asian
Tiaprofenic Acid C14 H12 O3 S Low All
Tolonium Chloride, Tolonium Chloride (toluidine blue) C15 H16 Cl N3 S High All
Trihexyphynidyl (benzhexol) C20 H31 N O Low All
Trimethoprimk C14 H18 N4 O3 Low All
Trinitrotoluene (2,4,6-Trinitrotoluene) C7 H5 N3 O6 High Medit., Asian
Tripelennamine C16 H21 N3 Low Medit., Asian

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

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CaliforniaLyme
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Chinese Herbs to avoid if G6PD Deficient
*********************************************

Cattle Gallstone Bezoar- (Bos Taurus Domesticus)
Honeysuckle- (Lonicera Japonica)
Chimonanthus Flower- (Chimonanthus Praecox)
Huang Lian - (Chuan Lian)
100% Pearl Powder

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

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CaliforniaLyme
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It can be triggered by illness or anti-malarial drugs and it can manifest identically to blood negative BABESIOSIS-
************************************************

What is G6PD Deficiency


G6PD Deficiency is a hereditary abnormality in the activity of an erythrocyte (red blood cell) enzyme. This enzyme, glucose-6-phosphate dehydrogenase (G-6-PD), is essential for assuring a normal life span for red blood cells, and for oxidizing processes.

This enzyme deficiency may provoke the sudden destruction of red blood cells and lead to hemolytic anemia with jaundice following the intake of fava beans, certain legumes and various drugs (see a complete list of drugs and foodstuffs to avoid).

The defect is sex-linked, transmitted from mother (usually a healthy carrier) to son (or daughter, who would be a healthy carrier too; see a diagram of inheritance probabilities). This is due to the fact that the structure of G-6-PD is carried on the X chromosome: As stated by Ernest Beutler, M.D., "in females, only one of the two X chromosomes in each cell is active; consequently, female heterozygotes for G-6-PD deficiency have two populations of red cells; deficient cells and normal cells."

The deficit is most prevalent in Africa (affecting up to 20% of the population), but is common also around the Mediterranean (4% - 30%) and southeast Asia. Please note that there are more than 400 genetic variants of the deficiency. You can determine whether you are G-6-PD deficient by a simple blood test. To determine your variant, you must test yourself at specialized genetic labs.

TOP


The symptoms
Sudden rise of body temperature and yellow coloring of skin and mucous membrane.
Dark yellow-orange urine.
Pallor, fatigue, general deterioration of physical conditions.
Heavy, fast breathing.
Weak, rapid pulse.

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

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DakotasMom01
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Thank you Sarah

A few yrs after my first bite, I got some petechie/ cherry spots, when I showed them to the dr, he said they were common in people of european decent...and nothing to worry abt.

""it is RARE in northern european genes but it DOES happen in EVERY population just in smaller numbers/rates""

I am going to ask my rheummy to test for this.
I wasn't allergic to sulfas for many yrs, then suddenly it happened.

Thanks again.

--------------------
Take Care,
DakotasMom01

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CaliforniaLyme
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If you weren't allergic to sulfas for many years then you are not G6PD deficient!!! It is genetic so you either are or you aren't!!!

If you are G6PD deficient you are going to have a bad reaction to sulfa!!! When I took sulfa, I had to be hospitalized because my rb cells burst all over my body- I was dark red like a stain- and my lungs were affected- see this photo-
like that except it was all over my face and whole body- very bad- almost died-
http://www.mednet.gr/pim/images-hematology/h3_1.jpg

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

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SForsgren
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Unless there is a higher incidence of this deficiency in people with Lyme and/or chronic illnesses, it seems that the rate in Northern America is 0.6% to 2.9%. It seems to be fairly rare and I am wondering whether or not there is enough of an indication to start asking for this to be tested for or not? Seems that it may not be necessary.

http://rialto.com/g6pd/fig2.htm

--------------------
Be well,
Scott

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