den Haan P J, van Vliet A C, Hazenberg B P
Department of Internal Medicine, Drechtsteden Ziekenhuis Refaja, Dordrecht, Netherlands.
Neth J Med. 1993 Jun;42(5-6):171-4.
Two patients are described with Weil's disease as a rare cause of jaundice. We discuss some features that can lead to early diagnosis. This concerns the apparently aspecific flu-like syndrome that precedes the icteric phase of the disease, as well as the typical pattern of liver function tests in the jaundiced patient: serum bilirubin is markedly elevated as compared with the liver enzymes. Another clue to the diagnosis can be obtained by enquiring not only about the patient's profession, but also about his leisure activities, since both patients acquired the disease in their leisure time.
本文描述了两例以韦尔氏病作为黄疸罕见病因的病例。我们讨论了一些有助于早期诊断的特征。这涉及到该病黄疸前期出现的看似非特异性的流感样综合征，以及黄疸患者典型的肝功能检查模式：与肝酶相比，血清胆红素显著升高。通过不仅询问患者的职业，还询问其休闲活动，也可以获得诊断的另一条线索，因为这两名患者均在休闲时间感染了该病。
