malinda Forum Guru
Topics: 162 Posts: 654
| | 02/28/06 - 12:36 PM  
 
   
 
|   #1 |
what are the main point to differentiate these two on exam?
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| krsna Forum Senior
Topics: 1 Posts: 211
| | 02/28/06 - 01:27 PM  
 
   
 
|   #2 |
in g6pd heinz bodies are seen but not in pk deficiency there is inc 2,3-BPG in PK defcn. but not in g6pd.also g6pd has a defective NADP oxidase sysytem leading to chr. granulomatous disease
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| malinda Forum Guru
Topics: 162 Posts: 654
| | 02/28/06 - 01:30 PM  
 
   
 
|   #3 |
what about inheritence patterns?
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| mazinger Forum Guru

Topics: 46 Posts: 917
| | 02/28/06 - 06:19 PM  
 
   
 
|   #4 |
Easier way to figure this out.. G6PD deficiency cannot make NADPH and the severity of this deficit is variable among individuals, MOST of these patients have a moderate deficit and only have symptoms while they are under oxidative stress situations.. Infections, drugs, fava beans.. All of these situations increase O2 free radicals which make these patients have hemolytic crisis, Heinz bodies viewed with supravital stains and so on. They dont have enough NADPH to feed glutathion peroxidase pathway so their RBCS cannot clear these newly formed free radicals. Severe cases of G6PD def may be related to a severe absence of NADPH, there would be no substrate for NADPH oxidase (which is normal in these individuals), and it may act as a chronic granulomatous dzs in a way. PK deficiency you dont have the enzyme to make PEP to pyruvate, therefore you cannot make anaerobic glycolysis (lactate) from pyruvate. These patients have a persistent hemolytic anemia and the glycolytic pathway ends up doind 2,3 BPG shifting the curve to the right.. An accumulation of NADH will eventually stop glycolisis and the RBCs will lyse persistently and not periodically..
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| mazinger Forum Guru

Topics: 46 Posts: 917
| | 02/28/06 - 06:20 PM  
 
   
 
|   #5 |
G6PD X linked recessive, PK dont know
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| reet Forum Fanatic

Topics: 152 Posts: 1,411
| | 03/01/06 - 01:04 PM  
 
   
 
|   #6 |
mazinger isnt PK deficiency reccesive ds??
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| mjl1717 Forum Hero

Topics: 955 Posts: 5,451
| | 03/01/06 - 08:04 PM  
 
   
 
|   #7 |
Id say PK is autosomal reccesive
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| mazinger Forum Guru

Topics: 46 Posts: 917
| | 03/02/06 - 02:51 AM  
 
   
 
|   #8 |
... thx guys didnt know that
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