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.
Abstract

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