title: Severe unconjugated hyperbilirubinaemia: one and one makes three?
abstract: A 38-year-old housewife presented with a 3-month history of gradually progressive fatigue and deepening jaundice as well as a history of mild fluctuating jaundice since childhood. General examination revealed an obvious icterus. Systemic examination was normal. Laboratory tests confirmed unconjugated hyperbilirubinaemia. Further evaluation yielded a diagnosis of vitamin B12 deficiency on a background of Gilbert's syndrome.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Kushal
authors.initials: K
authors.lastname: Naha
authors.forename: Sowjanya
authors.initials: S
authors.lastname: Dasari
authors.forename: G
authors.initials: G
authors.lastname: Vivek
authors.forename: Manjunath
authors.initials: M
authors.lastname: Hande
authors.forename: Vasudev
authors.initials: V
authors.lastname: Acharya
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005878:Gilbert Disease / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D016896:Treatment Outcome; D014805:Vitamin B 12 / Q000008:administration & dosage* / Q000627:therapeutic use
chemical_list: D014805:Vitamin B 12