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VIII.53 - Favism

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Favism is an acute hemolytic reaction triggered by exposure either to fava beans (Vicia faba) or to certain drugs (e.g., sulfa-based antibiotics and the antimalarial primaquine) in people with an inherited deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD). In favism, the patient can suffer from destruction of red blood cells, severe anemia, and possibly death. There are two necessary conditions for the disease: (1) genetic inheritance of the “Mediterranean” variant of the abnormal gene trait for G6PD deficiency; and (2) ingestion of fava beans, usually fresh, or exposure to some drugs. The bean is a dietary staple in areas where favism is reported. Only an estimated 20 percent of those with the genetic trait for G6PD are likely to experience episodes of favism. Under modern medical conditions the hemolytic anemia caused by favism is only rarely fatal. Strong evidence suggests that both the gene for G6PD deficiency and the cultural practice of fava bean consumption are evolutionarily adaptive traits that protect against death from all types of malaria. Favism, then, could be described as a negative outcome of the interaction of the positive adaptive qualities of both the gene and the bean.

Distribution and Incidence

Favism is found primarily in the Mediterranean and Middle East regions where fava beans are a staple food and the Mediterranean variant of G6PD deficiency gene is relatively common. Mark Belsey (1973) reports that it is frequently encountered in Greece, Sardinia, Italy, Cyprus, Egypt, Lebanon, Israel, Iran, Iraq, Algeria, and Bulgaria, and is particularly common among Sephardic Jews.

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Andrews, Alfred C. 1949. The bean and Indo-European totemism. American Anthropologist 51.CrossRefGoogle ScholarPubMed
Belsey, Mark A. 1973. The epidemiology of favism. Bulletin of the World Health Organization 48.Google ScholarPubMed
Brown, Peter J. 1981. New considerations on the distribution of thalassemia, glucose-6-phosphate dehydrogenase deficiency and malaria in Sardinia. Human Biology 53.Google ScholarPubMed
Brumbaugh, Robert, and Schwartz, Jessica. 1979. Pythagoras and beans: A medical explanation. Classical World 73.Google Scholar
Crosby, William H. 1956. Favism in Sardinia. Blood 11.Google Scholar
Kattamis, C. A., Kyriazakov, M., and Chidas, S.. 1969. Favism: Clinical and biochemical data. Journal of Medical Genetics 6.CrossRefGoogle ScholarPubMed
Katz, Solomon, and Schall, Jean. 1979. Fava bean consumption and biocultural evolution. Medical Anthropology 3.CrossRefGoogle Scholar
Lapeyssonnie, L., and Keyhan, R.. 1966. Favism in the Caspian littoral area. In Proceedings of the first seminar on favism in Iran. Teheran.Google Scholar
Luzzatto, L. 1969. Glucose-6-phosphate dehydrogenase deficient red cells: Resistance to infection by malarial parasites. Science 164.CrossRefGoogle ScholarPubMed
Luzzatto, L., and Battistuzzi, G.. 1985. Glucoses-phosphate dehydrogenase. Advances in Human Genetics 14.Google ScholarPubMed

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  • Favism
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.115
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  • Favism
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.115
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Favism
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.115
Available formats
×