title: A Case of hereditary spherocytosis coexisting with Gilbert's syndrome.
abstract: We recently encountered a case of hereditary spherocytosis coexisting with Gilbert's syndrome. Patient was initially diagnosed with Gilbert's syndrome and observed, but other findings suggestive of concurrent hemolysis, such as splenomegaly and gallstones were noted during the follow-up period. Therefore, further evaluations, including a peripheral blood smear, osmotic fragility test, autohemolysis test, and red blood cell membrane protein test were performed, and coexisting hereditary spherocytosis was diagnosed. Genotyping of the conjugation enzyme uridine diphosphate-glucuronosyltransferase was used to confirm Gilbert's syndrome. Because of the high prevalence rates and similar symptoms of these 2 diseases, hereditary spherocytosis can be masked in patients with Gilbert's syndrome. In review of a case and other article, the possibility of the coexistence of these 2 diseases should be considered, especially in patients with unconjugated hyperbilirubinemia who also have splenomegaly and gallstones.
authors.affiliation: Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
authors.forename: Min Jae
authors.initials: MJ
authors.lastname: Lee
authors.forename: Yoon Hwan
authors.initials: YH
authors.lastname: Chang
authors.forename: Seung Hwa
authors.initials: SH
authors.lastname: Kang
authors.forename: Se Kwon
authors.initials: SK
authors.lastname: Mun
authors.forename: Heyjin
authors.initials: H
authors.lastname: Kim
authors.forename: Chul Ju
authors.initials: CJ
authors.lastname: Han
authors.forename: Jin
authors.initials: J
authors.lastname: Kim
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Kang
mesh_terms: D000328:Adult; D004912:Erythrocytes / Q000502:physiology; D042882:Gallstones / Q000209:etiology; D005838:Genotype; D005878:Gilbert Disease / Q000150:complications / Q000175:diagnosis* / Q000235:genetics; D014453:Glucuronosyltransferase / Q000235:genetics; D006461:Hemolysis; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology; D008297:Male; D020641:Polymorphism, Single Nucleotide; D013103:Spherocytosis, Hereditary / Q000150:complications / Q000175:diagnosis* / Q000235:genetics; D013163:Splenomegaly / Q000209:etiology
chemical_list: D014453:Glucuronosyltransferase