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Favism is a severe hemolytic reaction that occurs when individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency consume fava beans or are exposed to certain triggers. It is caused by a hereditary deficiency of the G6PD enzyme, which protects red blood cells from oxidative damage. The Glucose-6-Phosphate Dehydrogenase Quantitative test is the most important test for diagnosis.
Favism is caused by a hereditary deficiency of the glucose-6-phosphate dehydrogenase (G6PD) enzyme in red blood cells. This genetic condition is inherited in an X-linked pattern, meaning it primarily affects males while females can be carriers. When someone with G6PD deficiency eats fava beans or is exposed to certain medications or infections, the lack of protective enzyme causes rapid destruction of red blood cells, leading to severe anemia, jaundice, dark urine, and potentially life-threatening complications.
The Glucose-6-Phosphate Dehydrogenase Quantitative test is the most important test for favism because it directly measures the level of G6PD enzyme in your red blood cells. This blood test identifies whether you have the enzyme deficiency that causes favism before you experience a dangerous hemolytic crisis. The quantitative measurement provides precise enzyme levels, allowing doctors to determine the severity of the deficiency and guide recommendations about avoiding fava beans, certain antibiotics, antimalarial drugs, and other triggers that could cause red blood cell breakdown.
You should get tested if you have Mediterranean, African, Middle Eastern, or Asian ancestry, as G6PD deficiency is more common in these populations. Testing is especially important if family members have been diagnosed with G6PD deficiency, if you experienced unexplained jaundice or anemia after eating fava beans or taking certain medications, or if you are planning pregnancy and want to know your carrier status. Newborns in high-risk populations should also be screened to prevent accidental exposure to triggers.
What this means
Your G-6-PD enzyme levels are below the normal range, indicating a deficiency. This means certain foods, medications, and infections can trigger your red blood cells to break down, causing anemia, fatigue, and other symptoms. Knowing this helps you avoid specific triggers and prevent future episodes.
Recommended actions
Avoid fava beans, certain legumes, and known trigger foods
Consult your doctor before taking new medications, especially antibiotics and antimalarials
Carry a list of medications and substances to avoid with you at all times
Inform family members about potential hereditary risk and consider genetic counseling
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