Digestive Diseases and Sciences (2018) 63:601–604 https://doi.org/10.1007/s10620-018-4938-2 UNM CLINIC AL C ASE CONFERENCES 1 1 1 1 Anas Gremida · Swathi Paleti · Euriko Torrazza Perez · Denis McCarthy Published online: 30 January 2018 © Springer Science+Business Media, LLC, part of Springer Nature 2018 Keywords Zieve’s syndrome · Hemolysis · Alcohol · Alcoholic liver disease · Hepatitis · Maddrey’s discriminant function Case Report 10.0 mg/dl, lactate dehydrogenase 400 U/l (100–190 U/l), lipase 285 mg/dl (10–73 mg/dl), triglycerides 208 mg/dl A 46-year-old female with history of asthma, hyperlipi- (< 150 mg/dl), cholesterol 275 mg/dl ethanol 65 mg/dl, demia, and heavy alcohol intake was initially evaluated for and direct anti-globulin test (Coombs test) was negative. the complaint of abdominal pain for 1 week, described as Serum haptoglobin was undetectable (20–240 mg/dl), and generalized, aching, constant, nonradiating, and associated international normalized ratio (INR) was 1.7 (0.5–1.1). A with lassitude, nausea, vomiting, and diminished appetite. peripheral blood smear showed spur cells, schistocytes, and She also noticed darkening of her urine over the same time. prominent macrocytosis. A stool test was negative for occult The patient denied any overt upper or lower gastrointestinal blood. Abdominal ultrasound with Doppler flow measure - bleeding and reported no changes in her mental status. The ment showed patent vasculature, increased liver echogenic- patient had consumed about
Digestive Diseases and Sciences – Springer Journals
Published: Jan 30, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
It’s easy to organize your research with our built-in tools.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud