Hereditary spherocytosis coexisting with Gilbert's syndrome: a diagnostic dilemma

Singapore Med J. 2008 Nov;49(11):e308-9.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bilirubin / blood
  • Caloric Restriction
  • Diagnosis, Differential
  • Gilbert Disease / blood
  • Gilbert Disease / complications*
  • Gilbert Disease / diagnosis*
  • Humans
  • Hyperbilirubinemia / complications
  • Hyperbilirubinemia / diagnosis
  • Hyperbilirubinemia, Hereditary / complications
  • Hyperbilirubinemia, Hereditary / diagnosis
  • Male
  • Phenobarbital / pharmacology
  • Spherocytosis, Hereditary / blood
  • Spherocytosis, Hereditary / complications*
  • Spherocytosis, Hereditary / diagnosis*
  • Treatment Outcome

Substances

  • Bilirubin
  • Phenobarbital