Hyperbilirubinemia: Does It Matter?

Serum bilirubin concentrations are increased in several hematological and hepatic disorders; however, hyperbilirubinemia, often of familial origin, may occur without overt signs of hemolysis or evident liver disease. The authors review briefly the main steps of hepatic bilirubin metabolism, then dis...

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Main Authors: Lajos Okolicsanyi, Giulia Martina Cavestro, Claudia Guatti-Zuliani
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1999/648498
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author Lajos Okolicsanyi
Giulia Martina Cavestro
Claudia Guatti-Zuliani
author_facet Lajos Okolicsanyi
Giulia Martina Cavestro
Claudia Guatti-Zuliani
author_sort Lajos Okolicsanyi
collection DOAJ
description Serum bilirubin concentrations are increased in several hematological and hepatic disorders; however, hyperbilirubinemia, often of familial origin, may occur without overt signs of hemolysis or evident liver disease. The authors review briefly the main steps of hepatic bilirubin metabolism, then discuss the pathogenetic mechanisms of the different forms of familial hyperbilirubinemia. The knowledge of these conditions is increasingly important because orthotopic liver transplantation may be a therapeutic choice for some severe forms. Furthermore, early diagnosis is necessary to avoid unnecessary medical investigations for the otherwise relatively common, benign unconjugated hyperbilirubinemia. Finally, individuals with unmasked defective bilirubin handling may be potential liver donors; thus, unexplained jaundice occurring after orthotopic liver transplantation may be related to this disorder.
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institution Kabale University
issn 0835-7900
language English
publishDate 1999-01-01
publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology
spelling doaj-art-7c6c1144b53c4bc1ab6c20cc7441a7412025-02-03T05:52:33ZengWileyCanadian Journal of Gastroenterology0835-79001999-01-0113866366810.1155/1999/648498Hyperbilirubinemia: Does It Matter?Lajos OkolicsanyiGiulia Martina CavestroClaudia Guatti-ZulianiSerum bilirubin concentrations are increased in several hematological and hepatic disorders; however, hyperbilirubinemia, often of familial origin, may occur without overt signs of hemolysis or evident liver disease. The authors review briefly the main steps of hepatic bilirubin metabolism, then discuss the pathogenetic mechanisms of the different forms of familial hyperbilirubinemia. The knowledge of these conditions is increasingly important because orthotopic liver transplantation may be a therapeutic choice for some severe forms. Furthermore, early diagnosis is necessary to avoid unnecessary medical investigations for the otherwise relatively common, benign unconjugated hyperbilirubinemia. Finally, individuals with unmasked defective bilirubin handling may be potential liver donors; thus, unexplained jaundice occurring after orthotopic liver transplantation may be related to this disorder.http://dx.doi.org/10.1155/1999/648498
spellingShingle Lajos Okolicsanyi
Giulia Martina Cavestro
Claudia Guatti-Zuliani
Hyperbilirubinemia: Does It Matter?
Canadian Journal of Gastroenterology
title Hyperbilirubinemia: Does It Matter?
title_full Hyperbilirubinemia: Does It Matter?
title_fullStr Hyperbilirubinemia: Does It Matter?
title_full_unstemmed Hyperbilirubinemia: Does It Matter?
title_short Hyperbilirubinemia: Does It Matter?
title_sort hyperbilirubinemia does it matter
url http://dx.doi.org/10.1155/1999/648498
work_keys_str_mv AT lajosokolicsanyi hyperbilirubinemiadoesitmatter
AT giuliamartinacavestro hyperbilirubinemiadoesitmatter
AT claudiaguattizuliani hyperbilirubinemiadoesitmatter