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G6PD Deficiency Prevalence as a Cause of Neonatal Jaundice in a Neonatal Ward in Dohuk, Iraq
Adil Abozaid Eissa1, Bijar Ali Haji2, Adnan Anwar Al-Doski1
1Department of Pathology, College of Medicine, University of Duhok, Duhok, Iraq.
Insights
Glucose-6-phosphate dehydrogenase (G6PD) deficiency significantly increases the risk and severity of neonatal hyperbilirubinemia (NHB). G6PD deficiency in newborns leads to higher bilirubin levels, requiring longer phototherapy and hospitalization.
Area of Science:
- Neonatal Medicine
- Hematology
- Genetics
Background:
- Neonatal hyperbilirubinemia (NHB) is a common condition in newborns.
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an inherited condition that can affect red blood cells.
Purpose of the Study:
- To investigate the impact of G6PD deficiency on the development and severity of NHB.
- To compare bilirubin levels, treatment duration, and hospitalization in G6PD-deficient and non-deficient neonates with NHB.
Main Methods:
- A case-control study involving 100 newborns with moderate to severe NHB and 50 controls.
- Comprehensive laboratory tests including blood grouping, bilirubin levels, complete blood count, and G6PD enzyme assay were performed.
Main Results:
- 16% of neonates with NHB were G6PD deficient, compared to 6% in the control group (p<0.05).
- G6PD-deficient neonates had significantly higher indirect serum bilirubin levels, leading to longer phototherapy and hospitalization.
- No significant differences were observed in presentation onset, reticulocyte count, or age between the groups.
Conclusions:
- G6PD deficiency plays a significant role in the etiology and severity of NHB in the studied region.
- While G6PD deficiency is linked to NHB, the exact mechanism beyond hemolysis requires further investigation due to similar reticulocyte and hemoglobin levels.
Objective:
The current study initiated to address the effect of glucose-6-phosphate dehydrogenase (G6PD) deficiency on the pathogenesis and the severity of neonatal hyperbilirubinemia (NHB).
Study Design:
A total of 100 newborns with moderate to severe indirect hyperbilirubinemia and 50 normal neonates without hyperbilirubinemia had been enrolled in the current case-control study. All enrolled neonates had been tested for ABO and Rh(D) blood grouping, Total serum bilirubin measurement, complete blood count, morphology, reticulocyte counts, direct Coombs' test, and G6PD enzyme assay.
Results:
From all enrolled hyperbilirubinemic neonates, 16% were G6PD deficient and this displays a statistically significant difference in comparison to controls (only 6% were G6PD deficient). Also, significant difference was found in the level of serum indirect bilirubin among G6PD-deficient neonate in comparison to G6PD nondeficient neonates which had contributed significantly to the difference in the duration of phototherapy and hospitalization among deficient neonate. Despite this, no significant difference found in the onset of presentation, reticulocytes count, and age of neonates between the two groups (G6PD-deficient and G6PD nondeficient neonates).
Conclusion:
The current study augments the etiological role of G6PD in the causation and severity of NHB in the region; however, in the absence of significant difference in the reticulocytes and the hemoglobin level, the underlying mechanism cannot be backed to the excess hemolysis alone.
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Glucose Transporters
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:

