Naha Kushal, Dasari Sowjanya, Vivek G, Hande Manjunath, Acharya Vasudev
Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
BMJ Case Rep. 2013 Jun 18;2013:bcr2013009962. doi: 10.1136/bcr-2013-009962.
A 38-year-old housewife presented with a 3-month history of gradually progressive fatigue and deepening jaundice as well as a history of mild fluctuating jaundice since childhood. General examination revealed an obvious icterus. Systemic examination was normal. Laboratory tests confirmed unconjugated hyperbilirubinaemia. Further evaluation yielded a diagnosis of vitamin B12 deficiency on a background of Gilbert's syndrome.
一名38岁的家庭主妇,有3个月逐渐加重的疲劳和黄疸加深病史,且自童年起就有轻度波动性黄疸病史。全身检查发现明显黄疸。系统检查正常。实验室检查证实为非结合性高胆红素血症。进一步评估诊断为吉尔伯特综合征背景下的维生素B12缺乏症。