Drug-induced nonautoimmune hemolytic anemia

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Drug-induced nonautoimmune hemolytic anemia is a form of hemolytic anemia. Non-immune drug induced hemolysis can occur via oxidative mechanisms. This is particularly likely to occur when there is an enzyme deficiency in the antioxidant defense system of the red blood cells. An example is where antimalarial oxidant drugs like primaquine damage red blood cells in Glucose-6-phosphate dehydrogenase deficiency in which the red blood cells are more susceptible to oxidative stress due to reduced NADPH production consequent to the enzyme deficiency

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Contributors: Prab R. Tumpati, MD