Clinical features and differential diagnosis of hemolytic jaundice
10.3969/j.issn.1001-5256.2020.06.052
- VernacularTitle:溶血性黄疸的临床特征及鉴别诊断
- Author:
Jie ZHANG
1
;
Sujun ZHENG
Author Information
1. Department of Infection/Liver Diseases, The Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi 712000, China
- Publication Type:Research Article
- Keywords:
jaundice;
hemolysis;
diagnosis, differential
- From:
Journal of Clinical Hepatology
2020;36(6):1423-1427
- CountryChina
- Language:Chinese
-
Abstract:
Hemolytic jaundice has various etiologies and clinical manifestations. Although some patients have hemolysis, they may have jaundice as the initial manifestation due to unobvious or mild anemia, and the disease may last for a long time with difficulties in treatment and can be misdiagnosed as unexplained chronic hepatitis and jaundice with unknown cause. In addition, it may be easily confused with congenital indirect bilirubinemia including Gilbert’s syndrome, which may lead to missed diagnosis and delays in diagnosis and treatment. Physicians in hepatology should master the knowledge of hemolytic jaundice and chronic hemolytic diseases. This article summarizes the clinical features of hemolytic jaundice and thoughts in differential diagnosis and briefly introduces the clinical features of common chronic hemolytic diseases, so as to provide a reference for clinical physicians.