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| SPECIALIST ANSWERS
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Question |
Aspirin (in antiinflammatory doses) is cotraindicated in G6PD deficiency. So what is the alternative to use in patients with G6PD deficiency and having rheumatic fever or kawasaki disease if aspirin not to be used?
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Answer |
There are very few case reports of use of aspirin in rheumatic fever in a patient with G6PD deficiency. However one must not use aspirin in a patient with G6PD deficiency. In Kawasakis disease one may use IVIG during the acute phase and dipyridamole for antiplatelet activity. For rheumatic fever, steroids may be used.
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