Favism Blood Test

What is Favism?

Favism is a severe hemolytic reaction that occurs when individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency consume fava beans or are exposed to certain triggers. It is caused by a hereditary deficiency of the G6PD enzyme, which protects red blood cells from oxidative damage. The Glucose-6-Phosphate Dehydrogenase Quantitative test is the most important test for diagnosis.

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What causes favism?

Favism is caused by a hereditary deficiency of the glucose-6-phosphate dehydrogenase (G6PD) enzyme in red blood cells. This genetic condition is inherited in an X-linked pattern, meaning it primarily affects males while females can be carriers. When someone with G6PD deficiency eats fava beans or is exposed to certain medications or infections, the lack of protective enzyme causes rapid destruction of red blood cells, leading to severe anemia, jaundice, dark urine, and potentially life-threatening complications.

What is the best test for favism?

The Glucose-6-Phosphate Dehydrogenase Quantitative test is the most important test for favism because it directly measures the level of G6PD enzyme in your red blood cells. This blood test identifies whether you have the enzyme deficiency that causes favism before you experience a dangerous hemolytic crisis. The quantitative measurement provides precise enzyme levels, allowing doctors to determine the severity of the deficiency and guide recommendations about avoiding fava beans, certain antibiotics, antimalarial drugs, and other triggers that could cause red blood cell breakdown.

When should I get tested for favism?

You should get tested if you have Mediterranean, African, Middle Eastern, or Asian ancestry, as G6PD deficiency is more common in these populations. Testing is especially important if family members have been diagnosed with G6PD deficiency, if you experienced unexplained jaundice or anemia after eating fava beans or taking certain medications, or if you are planning pregnancy and want to know your carrier status. Newborns in high-risk populations should also be screened to prevent accidental exposure to triggers.

What are the symptoms of favism?
Symptoms of favism typically appear within 24 to 48 hours after eating fava beans or exposure to other triggers. You might notice sudden fatigue and weakness, yellowing of the skin and eyes (jaundice), dark or tea-colored urine, rapid heartbeat, shortness of breath, pale skin, back pain, and fever. In severe cases, the rapid destruction of red blood cells can lead to severe anemia requiring blood transfusion, kidney damage, or even life-threatening complications if not treated promptly.
Who is at risk for favism?
People of Mediterranean, Middle Eastern, African, and Southeast Asian descent are at highest risk for G6PD deficiency and favism. Males are more likely to have symptoms because the condition is X-linked, while females are usually carriers with milder symptoms or no symptoms at all. If you have family members with G6PD deficiency or a history of unexplained anemia or jaundice, you are at increased risk. The condition affects approximately 400 million people worldwide, making it one of the most common enzyme deficiencies.
What happens if favism is left untreated?
Untreated favism can lead to severe and potentially fatal complications. The rapid breakdown of red blood cells causes acute hemolytic anemia, which deprives your organs of oxygen. This can result in kidney failure from the overwhelming amount of hemoglobin byproducts, severe jaundice requiring medical intervention, enlarged spleen, gallstones from chronic hemolysis, and in extreme cases, cardiovascular collapse or death. Without knowing you have G6PD deficiency, you might repeatedly expose yourself to triggers, causing cumulative damage to your kidneys and other organs over time.
Can favism be diagnosed with a blood test?
Yes, favism is diagnosed with a blood test that measures G6PD enzyme levels in red blood cells. The Glucose-6-Phosphate Dehydrogenase Quantitative test is a simple blood draw that provides accurate results about your enzyme levels. Testing should ideally be done when you are healthy and not during or immediately after a hemolytic episode, as newly produced red blood cells may have higher enzyme levels and give falsely normal results. A complete blood count (CBC) may also be ordered during acute episodes to assess the extent of red blood cell destruction and anemia.
How is favism treated?
Treatment for favism focuses on immediate management of hemolytic crisis and long-term prevention. During an acute episode, you may need hospitalization for intravenous fluids to protect your kidneys, blood transfusions if anemia is severe, and supportive care to manage symptoms. The most important long-term treatment is strict avoidance of triggers including fava beans, certain antibiotics (sulfonamides, nitrofurantoin), antimalarial drugs (primaquine), aspirin in high doses, naphthalene (mothballs), and certain foods and supplements. Your doctor will provide a comprehensive list of substances to avoid.
How can I prevent favism?
Prevention of favism requires knowing your G6PD status through blood testing and then strictly avoiding triggers. Never eat fava beans or foods containing them, inform all healthcare providers about your G6PD deficiency before receiving any medications, avoid oxidative stress triggers like mothballs and henna, and carry a medical alert card or bracelet identifying your condition. Read medication labels carefully and check with your pharmacist before taking over-the-counter drugs. If you are a known carrier or have family history, consider genetic counseling before pregnancy to understand risks for your children.
What can I do at home for favism?
At home, maintain a detailed list of all substances you must avoid and keep it readily accessible for emergencies. Stay well-hydrated, especially during infections or illness when oxidative stress naturally increases. Monitor yourself for early warning signs like dark urine or yellowing eyes, and seek immediate medical attention if symptoms appear. Educate family members, caregivers, and school personnel about your condition and triggers. Keep your G6PD test results and a letter from your doctor explaining your condition with you when traveling. Join support groups to stay informed about newly identified triggers and management strategies.
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If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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Glucose-6-Phosphate Dehydrogenase Quantitative
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