Red cell pyruvate kinase deficiency in neonatal jaundice cases in India.
dc.contributor.author | Kedar, Prabhakar S | en_US |
dc.contributor.author | Warang, Prashant | en_US |
dc.contributor.author | Colah, Roshan B | en_US |
dc.contributor.author | Mohanty, Dipika | en_US |
dc.date.accessioned | 2006-11-28 | en_US |
dc.date.accessioned | 2009-05-30T11:07:24Z | |
dc.date.available | 2006-11-28 | en_US |
dc.date.available | 2009-05-30T11:07:24Z | |
dc.date.issued | 2006-11-28 | en_US |
dc.description.abstract | OBJECTIVE: Pyruvate Kinase (PK) deficiency is the most common enzymopathy of the glycolytic pathway in erythrocytes. It constitutes one of the common causes of hereditary non-spherocytic hemolytic anemia. The aim of this study was to screen newborns in India for pyruvate kinase (PK) deficiency in relation to unconjugated hyperbilirubinemia. METHODS: Laboratory investigations done included complete blood counts, reticulocyte counts, direct and indirect bilirubin, assay of G6PD and PK activity, ATP and 2,3 DPG levels. All variables were studied in 50-cord blood samples from normal deliveries and 218 neonates with hyperbilirubinemia. RESULTS: 7 of the 218 cases of neonatal jaundice were PK deficient with 30-40% reduction in PK activity. These cases also had a 3-4-fold increase in 2,3 DPG:ATP ratios, which is one of the additional indicators for PK deficiency. Six of the 7 infants had a severe clinical course. CONCLUSION: This study shows that the prevalence of PK deficiency in Indian neonatal jaundice cases is 3.21%, which is relatively high. This emphasizes the need for screening neonatal hyperbilirubinemia cases in India for PK deficiency. | en_US |
dc.description.affiliation | Institute of Immunohaematology, Indian Council of Medical Research, K.E.M. Hospital Campus, Parel, Mumbai, India. | en_US |
dc.identifier.citation | Kedar PS, Warang P, Colah RB, Mohanty D. Red cell pyruvate kinase deficiency in neonatal jaundice cases in India. Indian Journal of Pediatrics. 2006 Nov; 73(11): 985-8 | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/79352 | |
dc.language.iso | eng | en_US |
dc.source.uri | https://medind.nic.in/icb/icbai.shtml | en_US |
dc.subject.mesh | Erythrocytes --enzymology | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | India | en_US |
dc.subject.mesh | Infant, Newborn | en_US |
dc.subject.mesh | Jaundice, Neonatal --blood | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Metabolism, Inborn Errors --blood | en_US |
dc.subject.mesh | Pyruvate Kinase --deficiency | en_US |
dc.title | Red cell pyruvate kinase deficiency in neonatal jaundice cases in India. | en_US |
dc.type | Journal Article | en_US |
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