title: Yellowish discoloration of dialyzer.
abstract: A 43-year-old Chinese man with chronic viral hepatitis and end-stage renal disease, receiving conventional hemodialysis for 6 years, presented with general malaise and abdominal fullness. After 4.5 hours of hemodialysis, the hollow fibers of the dialyzer turned yellow. Biochemistry studies showed hyperbilirubinemia. The actual serum bilirubin (7.4 mg/dL) could be proved. Abdominal echography survey was negative. Hyperbilirubinemia was secondary to acute exacerbation of chronic viral hepatitis. Anuria and skin hyperpigmentation in uremia lack the tea-color urine and mask clinical jaundice in the presence of hyperbilirubinemia. Careful observation of dialyzer yellowish discoloration gave us timely discovery of patient's hyperbilirubinemia.
authors: Hong Zen Clinic and Hemodialysis Center, HsinChu City, Taiwan.
authors: Yeong-Woei
authors: YW
authors: Chiew
authors: Sheng-Jeng
authors: SJ
authors: Peng
authors: Chwei-Shiun
authors: CS
authors: Yang
mesh_terms: D000328:Adult; D001663:Bilirubin / Q000097:blood*; D006801:Humans; D006932:Hyperbilirubinemia / Q000175:diagnosis*; D007676:Kidney Failure, Chronic / Q000097:blood* / Q000628:therapy*; D008297:Male; D006435:Renal Dialysis / Q000295:instrumentation* / Q000379:methods
chemical_list: D001663:Bilirubin