Hereditary spherocytosis coexisting with Gilbert's syndrome: a diagnostic dilemma.
Haemolytic anaemia generally gives rise to only a modest elevation of serum bilirubin. Unconjugated hyperbilirubinaemia of an extreme degree should raise suspicion of additional factors, such as Gilbert's syndrome, hepatocellular dysfunction or renal failure. We present a 17-year-old boy with hereditary spherocytosis coexisting with Gilbert's syndrome.
Garg
P K
PK
Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India. dr.pankajgarg@gmail.com
Kumar
A
A
Teckchandani
N
N
Hadke
N S
NS
D000293:Adolescent; D001663:Bilirubin / Q000097:blood; D031204:Caloric Restriction; D003937:Diagnosis, Differential; D005878:Gilbert Disease / Q000097:blood / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D006932:Hyperbilirubinemia / Q000150:complications / Q000175:diagnosis; D006933:Hyperbilirubinemia, Hereditary / Q000150:complications / Q000175:diagnosis; D008297:Male; D010634:Phenobarbital / Q000494:pharmacology; D013103:Spherocytosis, Hereditary / Q000097:blood / Q000150:complications* / Q000175:diagnosis*; D016896:Treatment Outcome
D001663:Bilirubin; D010634:Phenobarbital