Alex PINTO, Anita MACDONALD, Esmeralda CLETO, Manuela ferreira ALMEIDA, Paula cristina RAMOS, Julio cesar ROCHA

A case report of a 4-year-old child with glucose-6-phosphate dehydrogenase deficiency: An evidence based approach to nutritional management

The objective was to describe the nutritional management of a 4-year-oldchild with glucose-6-phosphate dehydrogenase (G6PD) deficiency.A 4-year-old male child, African descent, born from non-consanguineousparents presented with a clinical history of frequent respiratory infections,usually treated with antibiotics. At 30 months of age, G6PD diagnosis wasmade after eating one portion (40 – 60 g) of fava beans, resulting in severehemolytic anemia hospitalization for 5 days. Diagnosis was confirmed byG6PD activity measurement. Nutritional counseling was given to avoid dietaryoxidative stressors particularly the exclusion of fava beans and accidentalingestion of other similar beans. Dietary intake of high vitamin C containingfoods was discouraged and adequate hydration advised.Nutritional management is crucial in preventing acute stress events in patientswith G6PD deficiency.

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