{
  "schema_version": 1,
  "kind": "condition",
  "id": "congenital-blood-disorder",
  "name": "Congenital blood disorder (including congenital anaemia, e.g. thalassaemia)",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class BD55 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Thalassemia - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK545151/",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 468,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Covers inherited conditions such as thalassaemia and G6PD deficiency, both common in Egypt; the GP recognises the pattern (family history, microcytic anaemia not responding to iron), gives supportive advice (folic acid, drugs to avoid in G6PD deficiency, genetic counselling) and refers to haematology for definitive diagnosis and management.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Covers inherited conditions such as thalassaemia and G6PD deficiency, both common in Egypt; the GP recognises the pattern (family history, microcytic anaemia not responding to iron), gives supportive advice (folic acid, drugs to avoid in G6PD deficiency, genetic counselling) and refers to haematology for definitive diagnosis and management.",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Failure to thrive or severe anaemia in infancy (thalassaemia major), jaundice or dark urine after specific drugs or foods (G6PD deficiency), a family history of consanguinity with anaemia, or a need for regular transfusions: refer for haematology assessment."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "congenital-blood-disorder"
    }
  ]
}