M. Vanelli et al., BLOOD-GLUCOSE NORMALIZATION-INDUCED HEMOLYSIS IN 3 ADOLESCENTS WITH TYPE-1 DIABETES-MELLITUS AT ONSET AND UNKNOWN G-6-PD DEFICIENCY, Journal of pediatric endocrinology & metabolism, 9(2), 1996, pp. 193-196
We present three adolescents unknown to be G-6-PD deficient who develo
ped haemolytic anaemia after admission for diabetes at onset uncomplic
ated by ketoacidosis. These patients had no bacterial infections and h
ad not ingested haemolytic drugs. The fall in glucose availability aft
er the correction of hyperglycaemia is proposed as capable of inducing
haemolysis in G-6-PD deficiency.