Name
GILBERTS DISEASE
DESCRIPTION
DETAIL
D.D. : * PHYSIOLOGICAL * BLOOD GROUP INCOMPATIBILITY * DRUGS LIKE VIT K & OXYTOCIN ARE REPORTED TO INCREASE HAEMOLYSIS * DUE TO EXCESSIVE HAEMOLYSIS 1. DUE TO INTRINSIC CELL DEFECTS * HAEMOGLOBINOPATHIES LIKE - SICKLE CELL ANEMIA - BETA- THALASSAEMIA MAJOR * HEREDITARY SPHEROCYTOSIS * HEREDITARY ELLIPTOCYTOSIS * RED CELL ENZYME DEFECTS LIKE - G-6 PD DEFICIENCY - PYRUVATE KINASE DEFICIENCY - PAROXYSMAL NOCTURNAL HAEMOGLOBINURIA - SPUR CELL ANEMIA 4. HYPOTHYROIDISM CAUSING DEFECTIVE SYNTHESIS OF ENZYMES INVOLVED IN BILIRUBIN CONJUGATION 5. CRIGLER-NAJJAR SYNDROME OTHER TESTS : * UNCONJUGATED BILIRUBIN - RAISED * ISOLATED UNCONJUGATED HYPERBILIRUBINAEMIA SHOULD PROMPT A WORKUP FOR HAEMOLYSIS. IN THE ABSENCE OF HEMOLYSIS, AN ISOLATED UNCONJUGATED HYPERBILIRUBINEMIA CAN BE ATTRIBUTED TO GILBERT DISEASE & NO FURTHER EVALUATION IS REQUIRED.
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
RETICULOCYTE COUNT, URINE FOR BILE SALTS AND BILE PIGMENTS, COMPLETE BLOOD COUNT, LIVER FUNCTION TEST