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Pflaum, M., & Ruman, R

The highest prevalence of hemolytic crises in G6PD deficiency is in children ages 13 ( For example, crises may present as hyperbilirubinemia a buildup of bilirubin resulting from the breakdown of red blood cells and severe jaundice, which may require phototherapy ( Newborn screening for G6PD deficiency is not yet routine in the United States

Homocysteine levels may also look normal on testing, cloaking genuine issues with methylation (a 'false negative')

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