A puzzling jaundice.
In an adult beta-thalassaemic patient admitted on account of the sudden onset of nausea, vomiting and biliary pain, the concomitant jaundice was considered "obstructive" on the basis of ultrasonographic evidence of cholecysto-choledocal stones. However, when the patient was re-evaluated it was found that concomitant Gilbert's disease, hepatitis C virus related cirrhosis and dilated cardiomyopathy had a detrimental effect on clinical and laboratory findings.
Postgraduate School of Gastroenterology, IRCCS Ospedale Maggiore, Milan, Italy.
R
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Pometta
A Colucci M
AC
Fraquelli
A
A
Losco
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D
Conte
D000368:Aged; D002311:Cardiomyopathy, Dilated / Q000150:complications; D002779:Cholestasis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005878:Gilbert Disease / Q000150:complications* / Q000175:diagnosis; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D008103:Liver Cirrhosis / Q000150:complications* / Q000821:virology; D008297:Male