Case Report
Complex Sources of Hyperbilirubinemia
1Department of General Medicine, Royal Hobart Hospital, Australia
2Faculty of Health and Medical Sciences, University of Western Australia, Australia
3Facility of Medicine, University of Tasmania, Australia
Received Date: September 14, 2022; Published Date: September 23, 2022
Introduction
The authors present a case of a patient with severe hyperbilirubinemia due to acute hepatitis B infection which resolved without intervention with subsequent normalization of synthetic and excretory liver function. Despite this, the patient remained jaundiced due to unconjugated hyperbilirubinemia in the context of a recent diagnosis and flare of hereditary spherocytosis. Due to the complex clinical presentation, the patient underwent a liver biopsy with the additional genetic diagnosis of Gilbert’s Syndrome being established. This illustrates an unusual case of both Hepatitis B and hereditary spherocytosis being a potential cause for a flare of Gilbert Syndrome.
