Intrahepatic Cholestasis in Sickle Cell Disease : A Case Report

Joint Authors

Silva-Pinto, Ana Cristina
Bassi, Sarah Cristina
Covas, Dimas Tadeu
Ribeiro, Fernanda Borges
Brunetta, Denise Menezes
Favarin de Macedo, Maria do Carmo
Prado, Benedito de Pina Almeida
De Santis, Gil Cunha
Piccolo Feliciano, Joao Victor
Angulo, Ivan de Lucena

Source

Anemia

Issue

Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-3, 3 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2010-12-21

Country of Publication

Egypt

No. of Pages

3

Main Subjects

Diseases

Abstract EN

Intrahepatic cholestasis (SCIC) is an uncommon but potentially fatal complication of sickle cell disease (SCD), with a high death rate, observed mainly in patients with homozygous sickle cell anemia.

Herein, we describe a case of severe SCIC treated successfully with aggressive manual exchange transfusion (ET).

The patient was admitted with enlarged liver and signs of hepatic failure, such as hyperbilirubinemia and coagulopathy.

There was no evidence of viral hepatitis or biliary obstruction.

We performed several sessions of ET in order to reduce the percentage of HbS to levels inferior to 30%, which was successfully accomplished.

The patient had a complete recovery of hepatic function.

This case has shown that ET is an effective treatment of SCIC and should be introduced early on the onset of this severe complication.

American Psychological Association (APA)

Brunetta, Denise Menezes& Silva-Pinto, Ana Cristina& Favarin de Macedo, Maria do Carmo& Bassi, Sarah Cristina& Piccolo Feliciano, Joao Victor& Ribeiro, Fernanda Borges…[et al.]. 2010. Intrahepatic Cholestasis in Sickle Cell Disease : A Case Report. Anemia،Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-512865

Modern Language Association (MLA)

Brunetta, Denise Menezes…[et al.]. Intrahepatic Cholestasis in Sickle Cell Disease : A Case Report. Anemia No. 2011 (2011), pp.1-3.
https://search.emarefa.net/detail/BIM-512865

American Medical Association (AMA)

Brunetta, Denise Menezes& Silva-Pinto, Ana Cristina& Favarin de Macedo, Maria do Carmo& Bassi, Sarah Cristina& Piccolo Feliciano, Joao Victor& Ribeiro, Fernanda Borges…[et al.]. Intrahepatic Cholestasis in Sickle Cell Disease : A Case Report. Anemia. 2010. Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-512865

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-512865