10/28/2022 0 Comments Scleral icterusLDH and haptoglobin downtrended, however she had persistent cytopenias, fevers, hepatosplenomegaly, and elevated ferritin. She received Berinert (C1 esterase Inhibitor) for cold agglutinin anemia given her positive DAT. Patient suffered from severe anemia refractory to multiple transfusions along with AMS and lactic acidosis. Liver ultrasound did not show cholecystitis or biliary ductal dilation. CT angiography chest/abdomen/pelvis revealed hepatosplenomegaly but was otherwise unrevealing. Peripheral smear showed evidence of extravascular hemolysis and atypical lymphocytosis without schistocytes. EBV and respiratory viral panel PCR were negative. Total bilirubin peaked at 35 and direct bilirubin peaked at 21 AST and ALT were initially normal but had a delayed peak of 963 and 411 respectively. There was no exam evidence of hepatomegaly or splenomegaly.Her hemoglobin was initially 8.3 and downtrended to a nadir of 2.7 platelets were 147 with a nadir of 7. She had scleral icterus, but no abdominal tenderness or distention. On exam, she had a high-normal temperate of 37.9C, heart rate in the 120s, and normal blood pressure. She had given birth 2 months prior to presentation to a healthy child however, the pregnancy was complicated by severe preeclampsia. Scleralis betegség k.m.n.Case Presentation: A 34 year-old female with a history of anxiety and depression initially presented to an outside hospital and then was transferred to our facility for jaundice. Porucha skléry NOS, Sklerální porucha, nemoci bělimy, skléra - nemoci, nemoci skléry Trastorno de la esclerótica NEOM, Enfermedades de la Esclerótica, Enfermedades de la Esclera, trastorno de la esclerótica (trastorno), trastorno de la esclerótica, Trastorno de la esclerótica Trouble de la sclère SAI, Trouble de la sclère, Maladies de la sclérotiqueĮrkrankung der Sklera NNB, Affektion der Sklera, nicht naeher bezeichnet, Affektionen der Sklera, Erkrankung der Sklera, Lederhauterkrankungen (Auge), SklerakrankheitenĪlteração da esclerótica NE, Alteração da esclerótica, Doenças da Esclera Sclera-aandoening NAO, aandoening sclera, Aandoening van sclera, niet gespecificeerd, sclera-aandoening, Aandoeningen van sclera, Scleraziekte, Scleraziekten, Ziekte, sclera-, Ziekten, sclera. Patologia della sclera, Patologia della sclera NAS, Malattie della sclera They may include anatomic, embryologic, degenerative, or pigmentation defects.ĭisease, Scleral, Diseases, Sclera, Diseases, Scleral, Sclera Disease, Sclera Diseases, Scleral Disease, Scleral Diseases, Disease, Sclera, Disorder of sclera, unspecified, SCLERA DIS, SCLERAL DIS, disorder of sclera, disorder of sclera (diagnosis), Scleral disorder NOS, Sclera Disorder, Scleral Disorder, Disorders of sclera, Unspecified disorder of sclera, Scleral Diseases, sclera disease, sclera diseases, sclera disorders, disease sclera, diseases sclera, scleral diseases, disorders scleral, Scleral disorder, Disorder of sclera (disorder), Disorder of sclera, disease (or disorder) sclera, Disorder of sclera, NOS General disorders of the sclera or white of the eye. Primary tumors of the sclera are extremely rare. Examples include inflammatory processes (e.g., scleritis and episcleritis), and degenerative processes. A disorder characterized by involvement of the sclera of the eye.Ī disorder affecting the sclera.
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