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Primaquine may cause hemolysis in -

A
G- 6-PD deficiency
B
NADP - deficiency
C
Methemoglobin reductase deficiency
D
Crabb's disease
High-Yield Explanation
Ans. is 'a' i.e., G-6PD deficiency o Erythrocytes are vulnerable to oxidative injuries by a variety of endogenous and exogenous oxidants,o Glucose 6-phosphate dehydrogenase prevent such oxidative damage by maintaining the supply of reduced glutathione which inactivates such oxidants.In the absence of G 6PD therefore patient may experience an acute hemolytic crisis within hours of exposure to oxidants stress.DRUGS AND CHEMICALS CAUSING HEMOLYSIS IN G-6P.D DEFICIENCYAntimalarialNitrofuranso PrimaquineQa NitrofurantoinQo PamaquineQo Nalidixic acidSulphadrugso Furazolidoneo SulphapyridineQMiscellaneouso SulfanilamideQo Napthalineo SulfadimidineQo Vitamin k analogueQo Daps oneQo Toluidine blueo SeptranQo TrinitrotolueneAnalgesicso Probenecido Acetanicido Dimercaprol (BAC)o Acetyl salicylic acidQ o Phenacetin

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