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严重非结合性高胆红素血症:1加1等于3?

Severe unconjugated hyperbilirubinaemia: one and one makes three?

作者信息

Naha Kushal, Dasari Sowjanya, Vivek G, Hande Manjunath, Acharya Vasudev

机构信息

Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.

出版信息

BMJ Case Rep. 2013 Jun 18;2013:bcr2013009962. doi: 10.1136/bcr-2013-009962.

Abstract

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.

摘要

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。

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