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Haemoglobinopathies and glucose-6-phosphate dehydrogenase deficiency in a Scandinavian perspective
E Theodorsson1, H Birgens, T A Hagve
1IBK/Clinical Chemistry, University Hospital, Linköping, Sweden. elvar.theodorrson@ibk.liu.se
Insights
Haemoglobinopathies and glucose-6-phosphate dehydrogenase deficiency are common genetic disorders worldwide. Migration increases their importance for differential diagnosis in many countries, necessitating updated laboratory diagnostic practices.
Area of Science:
- Medical Genetics
- Hematology
- Epidemiology
Background:
- Haemoglobinopathies (thalassaemia, sickle-cell anaemia) and glucose-6-phosphate dehydrogenase (G6PD) deficiency are prevalent single-genomic disorders globally.
- Approximately 3% of the world population are heterozygotic for beta-thalassaemia, 1-2% for sickle-cell anaemia, and over 400 million people have G6PD deficiency.
- These conditions are most common in Mediterranean, Asian, and African regions.
Purpose of the Study:
- To summarize current epidemiological data on haemoglobinopathies and G6PD deficiency.
- To elucidate trends and practices in the laboratory diagnosis of these disorders.
- To address the increasing importance of these conditions due to migration.
Main Methods:
- Review of current epidemiological data.
- Analysis of trends in laboratory diagnostic practices.
- Synthesis of information relevant to differential diagnosis in diverse populations.
Main Results:
- Highlights the high global prevalence of haemoglobinopathies and G6PD deficiency.
- Emphasizes the growing significance of these genetic disorders in non-endemic regions due to immigration.
- Underscores the need for updated diagnostic approaches in clinical laboratories.
Conclusions:
- Haemoglobinopathies and G6PD deficiency remain significant global health concerns.
- Migration patterns necessitate increased awareness and improved diagnostic capabilities for these disorders.
- This special issue provides a comprehensive overview of current knowledge and diagnostic strategies.
Abstract:
Haemoglobinopathies (mainly thalassaemia and sickle-cell anaemia syndromes) and glucose-6-phosphate dehydrogenase deficiency (G6PD) are globally among the most prevalent single-genomic diseases. About 3% of the world's population are heterozygotic for beta-thalassaemia and about 1-2% for sickle-cell anaemia, and it is estimated that more than 400 million people are affected by G6PD deficiency worldwide. The disorders are most prevalent in the Mediterranean area, in Asia and Africa. The Scandinavian countries, among others, have seen a boom in immigration during the past 20 years, and therefore migration makes haemoglobinopathies as well as G6PD deficiency increasingly more important from a differential diagnostic perspective in most countries. The purpose of the present special issue of the Journal is to summarize current epidemiological data and elucidate trends and practices in the laboratory diagnosis of these disorders.
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