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11 In this case, the patient did not experience hypoxia and methemoglobin levels were not tested

of course, ascertainment is difficult if the characteristic clinical dyad of hemolytic anemia and metabolic acidosis is not recognized and urine organic acid studies are not obtained

Hemolytic anemia was reported to be significantly more severe with G6PD Mediterranean and Cairo compared to G6PD A-, indicating a direct positive correlation between enzyme deficiency and severity of clinical manifestations