Does a child with G6PD deficiency (favism) need medication if follow-up tests are normal after age 3?

Jul 18, 2024 Source: Cainiu Health
Disease description:

My child has been receiving active treatment since contracting favism (G6PD deficiency). Recent hospital tests show normal results. May I ask if medication is still needed after a 3-year-old child with favism has normal test results during follow-up?

Doctor's answer (1)
Dr. Zhou Xiaofeng
Favism is an acute hemolytic anemia triggered by consuming fava beans or related products due to a deficiency of specific enzymes in the body. For children whose follow-up test results are normal after age 3: 1. Significance of follow-up testing: Normal follow-up results generally indicate the child is currently not experiencing a hemolytic episode, and the activity of related enzymes or compensatory mechanisms in the body has become relatively stable. 2. Medication guidance: When follow-up test results are normal and no hemolytic symptoms are present, additional medication is generally not required. Foods and drugs that may trigger hemolysis should be avoided. 3. Follow-up and monitoring: Parents are advised to bring their child for regular health checkups, especially to monitor indicators such as complete blood count (CBC), to promptly detect and address any potential abnormalities. Parents should closely monitor the child's diet and physical condition. If any abnormalities or concerns arise, prompt medical consultation is recommended.