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
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