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Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
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Rasburicase-Induced Hemolytic Anemia Secondary to Undiagnosed G6PD Deficiency
Olivia Avidan1, Matthew Quesenberry2
1Internal Medicine Brown University.
Journal of Brown Hospital Medicine
|March 3, 2025
Summary
A patient with lymphoma developed hemolytic anemia after rasburicase treatment due to undiagnosed G6PD deficiency. Prompt recognition and supportive care led to recovery, highlighting the need for G6PD screening before administering oxidative stress-inducing drugs.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Diffuse large B-cell lymphoma (DLBCL) patients undergoing chemotherapy are at risk for tumor lysis syndrome.
- Hyperuricemia secondary to tumor lysis syndrome is often treated with rasburicase.
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a common inherited red blood cell disorder.
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