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Hereditary spherocytosis in an elderly woman with periodic attacks of jaundice
Author(s) -
Fukuhara Hiroyuki,
Ishihara Shunji,
Amano Kazutoshi,
Miyake Tatsuya,
Kazumori Hideaki,
Furuta Kenji,
Kushiyama Yoshinori,
Sato Shuichi,
Uchida Yasushi,
Fujishiro Hirofumi,
Rumi Mak,
Amano Yuji,
Adachi Kyoichi,
Kumakura Shunichi,
Kinoshita Yoshikazu
Publication year - 2005
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/j.1447-0594.2005.00298.x
Subject(s) - hereditary spherocytosis , medicine , jaundice , hemolytic anemia , spherocytosis , hemolytic disease of the newborn (abo) , differential diagnosis , disease , bilirubin , anemia , pediatrics , ursodeoxycholic acid , gastroenterology , pathology , pregnancy , splenectomy , fetus , spleen , biology , genetics
Hereditary spherocytosis is a disease with chronic hemolytic anemia found mostly in childhood. We encountered a rare case of sporadic hereditary spherocytosis in a 68‐year‐old woman who developed periodic jaundice caused by hemolytic crises. Since the hemolytic crises were caused by cholelithiasis‐related biliary inflammation, administration of ursodeoxycholic acid was useful for the prevention of the hemolytic crises. In the differential diagnosis of periodic increases in indirect bilirubin, the possibility of hemolytic diseases, including hereditary ones, should be considered, even if the patients are elderly.