How to Test for Favism: Blood Test, Costs, and Specialist Guidance - Family Medicine

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Hello! To test for G6PD deficiency (favism), is it sufficient to perform a regular blood test? Additionally, how much does this test typically cost out-of-pocket, and which department should I consult? Thank you!

Lai, 10~19 year old female. Ask Date: 2009/12/24

Dr. Cai Mengru reply Family Medicine


Dear Mr.
Lai,
Regarding your inquiry, the test for G6PD deficiency (favism) only requires a blood draw, which can be arranged at the outpatient clinic of the Family Medicine Department.
As for the cost, it may vary between different medical institutions.
Wishing you safety and health.
Sincerely,
Dr.
Tsai Meng-Ju
Attending Physician, Family Medicine Department
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2009/12/24

More Info


To test for Favism, which is a genetic condition caused by a deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD), a blood test is indeed the standard method of diagnosis. This condition can lead to hemolytic anemia when individuals consume fava beans or are exposed to certain infections or medications.

Testing for Favism
1. Blood Test: The primary test for diagnosing G6PD deficiency is a blood test that measures the level of G6PD enzyme activity in red blood cells. If the enzyme activity is lower than normal, it indicates a deficiency. This test is usually performed on a sample of blood drawn from a vein in your arm.

2. Additional Tests: In some cases, if the initial test results are inconclusive, further tests may be conducted. These can include a quantitative G6PD test, which provides a more precise measurement of enzyme activity, or a genetic test to identify mutations in the G6PD gene.


Costs of Testing
The cost of testing for G6PD deficiency can vary widely depending on several factors, including the laboratory performing the test, your location, and whether you have health insurance that covers the test. In the United States, the cost for a G6PD test can range from $50 to $200 or more if it is not covered by insurance. It is advisable to check with your healthcare provider or the laboratory for specific pricing and whether any additional fees may apply.


Specialist Guidance
For testing and management of Favism, you would typically consult a healthcare provider in the following specialties:
- Hematology: This is the branch of medicine concerned with the study of blood, blood disorders, and the organs involved in blood production. A hematologist would be well-equipped to diagnose and manage conditions like G6PD deficiency.

- Genetics: If there is a family history of G6PD deficiency or if genetic counseling is needed, a medical geneticist or genetic counselor can provide valuable insights and testing options.


Preparation for the Test
Generally, there are no specific preparations required before a G6PD test. However, it is always a good idea to inform your healthcare provider about any medications you are taking, as certain drugs can affect the results. Additionally, if you have had a recent hemolytic episode, it may be advisable to wait until your blood levels stabilize before testing, as acute hemolysis can temporarily affect enzyme levels.


Conclusion
In summary, testing for Favism involves a straightforward blood test to measure G6PD enzyme activity. The costs can vary, and it is best to consult with a hematologist or a genetic specialist for guidance on testing and management. If you suspect you may have G6PD deficiency or have a family history of the condition, seeking medical advice is crucial for proper diagnosis and management.

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