Hereditary spherocytosis in an elderly woman with periodic attacks of jaundice |
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| Authors: | Hiroyuki Fukuhara Shunji Ishihara Kazutoshi Amano Tatsuya Miyake Hideaki Kazumori Kenji Furuta Yoshinori Kushiyama Shuichi Sato Yasushi Uchida Hirofumi Fujishiro Mak Rumi Yuji Amano Kyoichi Adachi Shunichi Kumakura Yoshikazu Kinoshita |
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| Affiliation: | Department of Gastroenterology and Hepatology, Shimane University, School of Medicine and Divisions of;Gastrointestinal Endoscopy and;Blood Transfusion, Shimane University Hospital, Izumo, Japan |
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| Abstract: | 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. |
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| Keywords: | cholecystitis hemolytic crises hereditary spherocytosis jaundice |
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