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• W2034198256 abstract "Article1 December 1966Acute Hemolytic Anemia Complicating Viral Hepatitis in Patients with Glucose-6-Phosphate Dehydrogenase DeficiencyGERALD SALEN, M.D., FRANZ GOLDSTEIN, M.D., F.A.C.P., FARID HAURANI, M.D., F.A.C.P., C. WILMER WIRTS, M.D., F.A.C.P.GERALD SALEN, M.D.Search for more papers by this author, FRANZ GOLDSTEIN, M.D., F.A.C.P.Search for more papers by this author, FARID HAURANI, M.D., F.A.C.P.Search for more papers by this author, C. WILMER WIRTS, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-6-1210 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough shortened erythrocyte survival can frequently be demonstrated, severe anemia has rarely been noted during acute viral hepatitis (1-3). In the few reported cases of hemolytic anemia complicating hepatitis no mechanism explaining the increased red cell destruction has been established (4-6). Increased splenic pulp pressure (7) or elevated gamma globulin levels (8), observed in viral hepatitis, could not be related to the development of hemolysis (2, 4, 6). Burka, Weaver, and Marks (9) most recently suggested that erythrocyte glucose-6-phosphate dehydrogenase (G-6-PD) deficiency may predispose to the development of hemolytic anemia during viral hepatitis.This report deals with three patients who...References1. CAWEINHAGEDORNOWEN MJABCA: Anemia of hepatic disease studied with radiochromium. Gastroenterology 38: 324, 1960. CrossrefMedlineGoogle Scholar2. PITCHERWILLIAMS CSR: Reduced red cell survival in jaundice and its relation to abnormal glutathione metabolism. Clin. Sci. 24: 239, 1963. MedlineGoogle Scholar3. CONRADSCHWARTZYOUNG MEFDAA: Infectious hepatitis; a generalized disease. A study of renal, gastrointestinal and hematologic abnormalities. Amer. J. Med. 37: 789, 1964. CrossrefMedlineGoogle Scholar4. KIVEL RM: Hematologic aspects of acute viral hepatitis. Amer. J. Dig. Dis. 6: 1017, 1961. CrossrefMedlineGoogle Scholar5. HANSBARGERHYUN EABH: Acute hemolytic anemia in viral hepatitis. Report of two cases. Virginia Med. Monthly 30: 134, 1963. Google Scholar6. RAFFENSBERGER EC: Acute acquired hemolytic anemia in association with acute viral hepatitis. Ann. Intern. Med. 48: 1243, 1958. LinkGoogle Scholar7. DAVISGORLINREICHMANSTORAASH WDRSS: Effect of pituitrin in reducing portal pressure in the human being. New Eng. J. Med. 256: 1080, 1957. CrossrefMedlineGoogle Scholar8. OSSERMANTAKATSUKI EFK: The plasma proteins in liver disease. Med. Clin. N. Amer. 47: 679, 1963. CrossrefMedlineGoogle Scholar9. BURKAWEAVERMARKS ERZPA: Clinical spectrum of hemolytic anemia associated with glucose-6-phosphate dehydrogenase deficiency. Ann. Intern. Med. 64: 817, 1966. LinkGoogle Scholar10. BREWERTARLOVALVING GJARAS: The methemoglobin reduction test for primaquine-type sensitivity of erythrocytes. A simplified procedure for detecting a specific hypersusceptibility to drug hemolysis. JAMA 180: 386, 1962. CrossrefMedlineGoogle Scholar11. BEUTLERROBSONBUTTERWEISER EME: The mechanism of glutathione destruction and protection in drug-sensitive and non-sensitive erythrocytes. In vitro studies. J. Clin. Invest. 36: 617, 1957. CrossrefMedlineGoogle Scholar12. ZINKHAM WH: An in-vitro abnormality of glutathione metabolism in erythrocytes from normal newborns: mechanism and clinical significance. Pediatrics 23: 18, 1959. MedlineGoogle Scholar13. ZINKHAMLENHARD WHRE: Metabolic abnormalities of erythrocytes from patients with congenital nonspherocytic hemolytic anemia. J. Pediat. 55: 319, 1959. CrossrefMedlineGoogle Scholar14. BEUTLERDERNFLANAGANALVING ERJCLAS: The hemolytic effect of primaquine. VII. Biochemical studies of drug sensitive erythrocytes. J. Lab. Clin. Med. 45: 286, 1955. MedlineGoogle Scholar15. CARSONFLANAGANICKESALVING PCLCEAS: Enzymatic deficiency in primaquine sensitive erythrocytes. Science 124: 484, 1956. CrossrefMedlineGoogle Scholar16. JANDL JH: The Heinz body hemolytic anemias. Ann. Intern. Med. 58: 702, 1963. LinkGoogle Scholar17. JANDLENGLEALLEN JHLKDW: Oxidative hemolysis and precipitation of hemoglobin. I. Heinz body anemias as an acceleration of red cell aging. J. Clin. Invest. 39: 1818, 1960. CrossrefMedlineGoogle Scholar18. ALLENJANDL DWJH: Oxidative hemolysis and precipitation of hemoglobin. II. Role of thiols in oxidant drug action. J. Clin. Invest. 40: 454, 1961. CrossrefMedlineGoogle Scholar19. JACOBJANDL HSJH: Effects of sulfhydryl inhibition on red blood cells. I. Mechanism of hemolysis. J. Clin. Invest. 41: 779, 1962. CrossrefMedlineGoogle Scholar20. JACOBJANDL HSJH: Effects of sulfhydryl inhibition on red blood cells. II. Studies in vivo. Ibid., p. 1514. Google Scholar21. JONDERKO G: Glutathione level in the blood in the course of parenchymatous injury of the liver. Arch. Polon. Med. Interne. 31: 316, 1961. Google Scholar22. MARKSJOHNSONHERSCHBERG PAABE: Effects of age on enzyme activity in erythrocytes. Proc. Nat. Acad. Sci. USA 44: 529, 1958. CrossrefMedlineGoogle Scholar23. CHOREMISKATTAMISKYRIAZAKOUGAVRIILIDOU CCAME: Viral hepatitis in G-6-PD deficiency. Lancet 1: 269, 1966. CrossrefMedlineGoogle Scholar24. WONG HB: Viral hepatitis in G-6-PD deficiency. Ibid., p. 882. Google Scholar25. TREYBURNSSAUNDERS CDGSJ: Treatment of hepatic coma by exchange blood transfusions. New Eng. J. Med. 274: 473, 1966. CrossrefMedlineGoogle Scholar26. BERGERLIVERSAGECHALMERSGRAHAMMCGOLDRICKSTOHLMAN RLRJTCJHDMF: Exchange transfusion in the treatment of fulminating hepatitis. Ibid., p. 497. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, PennsylvaniaFrom the Division of Gastroenterology and the Cardeza Foundation, Department of Medicine, Jefferson Medical College Hospital, Philadelphia, Pa.This study was supported in part by grants AM 08141-01 and CA 05554-04, U. S. Public Health Service, Washington, D. C.At the time of this study Gerald Salen, M.D., was a Postdoctoral Research Fellow in Gastroenterology, supported by fellowship F2 AM-28, 395-01 from the National Institutes of Arthritis and Metabolic Diseases, National Institutes of Health, Bethesda, Md.This paper was presented in part at the Meeting of the American Gastroenterological Association, May 28, 1966, Chicago, Ill.Requests for reprints should be addressed to Franz Goldstein, M.D., F.A.C.P., 1025 Walnut St., Philadelphia, Pa. 19107. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAcute Hepatitis A Causing Severe Hemolysis and Renal Failure in Undiagnosed Glucose-6-Phosphate Dehydrogenase Deficient Patient: A Case Report and Review of the LiteratureFulminant Hepatic Failure in Glucose-6-Phosphate Dehydrogenase (G6PD) Deficient Patients Caused by Hepatitis E Infection: A Single Disease With Different SpectrumsHepatitis A Virus-induced Severe Hemolysis Complicated by Severe Glucose-6-Phosphate Dehydrogenase DeficiencyAcute hepatic failure with hemolytic anemia due to Hepatitis A infection with coexistent glucose-6-phosphate dehydrogenase deficiencyGlucose-6-phosphate dehydrogenase deficiency and cardiac surgeryPerioperative Management of the Glucose-6-Phosphate Dehydrogenase Deficient Patient: A Review of LiteratureSevere hemolysis and renal failure in glucose-6-phosphate dehydrogenase deficient patients with hepatitis ELow Glucose-6-phosphate Dehydrogenase Enzyme Activity Level at the Time of Hemolysis in a Male Neonate with the African Type of DeficiencyHaemolysis Complicating Acute Viral Hepatitis in Patients with Normal or Deficient Glucose-6-phosphate Dehydrogenase ActivitySevere haemolysis associated with hepatitis A and normal glucose-6-phosphate dehydrogenase status.Drug-induced haemolysis and renal failure in children with glucose-6-phosphate dehydrogenase deficiency in AfghanistanThe Changing Epidemiology of Acute Renal Failure: Patterns in Economically Advanced and Developing CountriesHematologic Manifestations of Gastrointestinal DiseaseG6PD-deficiency infectious haemolysis: a complement dependent innocent bystander phenomenonTissue damage caused by free oxygen radicalsAcute hemolysis associated with hepatitis AAcute viral hepatitis, intravascular haemolysis, severe hyperbilirubinaemia and renal failure in glucose-6-phosphate dehydrogenase deficient patients.Glucose 6-Phosphate Dehydrogenase Deficiency Genetic, Pathophysiologic and Therapeutic AspectsIcterus and Anemia in a Young Black ChildFree radical-induced pathologyProlonged Intrahepatic Cholestasis Secondary to Acute Hepatitis ASTUART C. GORDON, M.D., K. RAJENDER REDDY, M.D., LEON SCHIFF, M.D., Ph.D., EUGENE R. SCHIFF, M.D.Chemical toxicity of red cells.Sodium transport in red cells of patients with acute viral hepatitisViral hepatitis: Epidemiologic, serologic and clinical manifestationsCase report bland cholestasisGlucose-6-Phosphate Dehydrogenase DeficiencyBenign course of extreme hyperbilirubinemia in sickle cell anemia: Analysis of six casesInfectious Hepatitis with Excessive Hyperbilirubinemia and a Hemolytic Crisis in an 8-Year-Old BoyRed Cell EnzymesPosthepatitis SyndromesCongenital hemolytic anemias and red cell enzyme deficienciesACUTE REVERSIBLE RENAL FAILURE ASSOCIATED WITH GLUCOSE-6-PHOSPHATE-DEHYDROGENASE DEFICIENCYAnemia and infectionErythrocyte glutathione peroxidase deficiencyThe hemolytic process of viral hepatitis inchildren with normal or deficient glucose-6-phosphate dehydrogenase activityMarked increase in serum bilirubin in sickle cell anemiaRecent Progress in Genetic Hemolytic Disorders: A Practical ApproachPrevalence of Sickle-Cell Trait and Glucose-6-Phosphate Dehydrogenase DeficiencyDie hämolytischen AnämienErthrocyte Glucose-6-Phosphate Dehydrogenase Deficiency a Pharmacogenetic PrototypeInfectious Disease: A Cause of Hemolytic Anemia in Glucose-6 Phosphate Dehydrogenase DeficiencyEDWARD R. BURKA, M.D., F.A.C.P.Glucose-6 Phosphate Dehydrogenase Deficiency, Infectious Hepatitis, Acute Hemolysis, and Renal FailureS. M. PHILLIPS, M.D., N. P. SILVERS, M.D.Genetically Determined Polymorphisms of Erythrocyte Enzymes in ManThe narcotic addict as a medical patientAcute Renal Failure Complicating Rickettsial Infections in Glucose-6-Phosphate Dehydrogenase-Deficient IndividualsANDREW WHELTON, JAMES V. DONADIO JR., BENNETT L. ELISBERG, M.D.Virus-Induced Hemolysis in Erythrocytes Deficient in Glucose-6-phosphate DehydrogenaseINTRAVASCULAR HÆMOLYSIS AND COAGULATIONSICKLE-CELL ANÆMIA IN G.-6-P.D. DEFICIENCY 1 December 1966Volume 65, Issue 6Page: 1210-1220KeywordsDehydrogenasesGlucose-6-phosphate dehydrogenase deficiencyHemolytic anemiaHepatitisHepatitis CHepatitis DHepatitis EHospital medicineMedical servicesMetabolic disorders Issue Published: 1 December 1966 PDF downloadLoading ..." @default.
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