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Hyperbilirubinemia in adults information


Hyperbilirubinemia is a clinical condition describing an elevation of blood bilirubin level due to the inability to properly metabolise or excrete bilirubin, a product of erythrocytes breakdown. In severe cases, it is manifested as jaundice, the yellowing of tissues like skin and the sclera when excess bilirubin deposits in them.[1] The US records 52,500 jaundice patients annually.[2] By definition, bilirubin concentration of greater than 3 mg/ml is considered hyperbilirubinemia, following which jaundice progressively develops and becomes apparent when plasma levels reach 20 mg/ml.[3] Rather than a disease itself, hyperbilirubinemia is indicative of multifactorial underlying disorders that trace back to deviations from regular bilirubin metabolism. Diagnosis of hyperbilirubinemia depends on physical examination, urinalysis, serum tests, medical history and imaging to identify the cause. Genetic diseases, alcohol, pregnancy and hepatitis viruses affect the likelihood of hyperbilirubinemia. Causes of hyperbilirubinemia mainly arise from the liver. These include haemolytic anaemias, enzymatic disorders, liver damage and gallstones. Hyperbilirubinemia itself is often benign. Only in extreme cases does kernicterus, a type of brain injury, occur. Therapy for adult hyperbilirubinemia targets the underlying diseases but patients with jaundice often have poor outcomes.[4]

  1. ^ Memon, Naureen; Weinberger, Barry I; Hegyi, Thomas; Aleksunes, Lauren M (2016). "Inherited disorders of bilirubin clearance". Pediatric Research. 79 (3): 378–386. doi:10.1038/pr.2015.247. ISSN 0031-3998. PMC 4821713. PMID 26595536.
  2. ^ "NAMCS/NHAMCS - Ambulatory Health Care Data Homepage". www.cdc.gov. 2022-03-16. Retrieved 2022-04-10.
  3. ^ "Jaundice - Hepatic and Biliary Disorders". MSD Manual Professional Edition. Retrieved 2022-03-29.
  4. ^ Sullivan, Jeremy I.; Rockey, Don C. (2017). "Diagnosis and evaluation of hyperbilirubinemia". Current Opinion in Gastroenterology. 33 (3): 164–170. doi:10.1097/MOG.0000000000000354. ISSN 0267-1379. PMID 28333690. S2CID 11852519.

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Hyperbilirubinemia in adults

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Bilirubin

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various pathological situations. Hyperbilirubinemia is a higher-than-normal level of bilirubin in the blood. Hyperbilirubinemia may refer to increased levels...

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excrete bilirubin as quickly as an adult. This causes an accumulation of bilirubin in the blood (hyperbilirubinemia), leading to the symptoms of jaundice...

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jaundice or asymptomatic hyperbilirubinemia". UpToDate. Fargo MV, Grogan SP, Saguil A (February 2017). "Evaluation of Jaundice in Adults". American Family Physician...

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Jaundice

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circulation, leading to hemoglobinemia and increasing the risk of ensuing hyperbilirubinemia. Intravascular hemolysis is the state when the red blood cell ruptures...

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Solute carrier organic anion transporter family member 1B1

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Late preterm infant

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immaturity: respiratory distress apnea temperature instability hypoglycemia hyperbilirubinemia poor feeding At 34–35 weeks, the brain weight is only about 2⁄3 that...

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circulation, leading to hemoglobinemia and increasing the risk of ensuing hyperbilirubinemia. Intravascular hemolysis may occur when red blood cells are targeted...

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Light therapy

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Athetosis

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Large for gestational age

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Octreotide

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site reactions. Slow heart rate, skin reactions such as pruritus, hyperbilirubinemia, hypothyroidism, dizziness and dyspnoea are also fairly common (more...

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Solute carrier organic anion transporter family member 2A1

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