13 October 2021>: Articles
Epstein-Barr Virus Causing Clinical Jaundice and Acute Acalculous Cholecystitis in a Previously Healthy 17-Year-Old Girl
Challenging differential diagnosis, Rare coexistence of disease or pathology
Kevin G. Harvey A* , Joshua G. Tice B , Adam Sigal ADOI: 10.12659/AJCR.932285
Am J Case Rep 2021; 22:e932285
Table 1. Laboratory values differentiating between the 3 major types of jaundice (pre-hepatic, intra-hepatic, and post-hepatic).
Pre-hepatic jaundice (hemolysis) | Intra-hepatic jaundice (infection, congenital abnormality, medication effects, etc.) | Post-hepatic jaundice (cholelithiasis/obstruction) | |
---|---|---|---|
Total bilirubin (normal=0.3–1.0 mg/dL) | ↑ | ↑↑ | ↑↑ |
Conjugated bilirubin (normal=0.0–0.2 mg/dL) | – | ↑ | ↑ |
Unconjugated bilirubin (normal=0.2–0.8 mg/dL) | ↑ | ↑ | – |
AST and ALT (normal AST & ALT=typically | – | ↑↑ | Normal/slightly ↑ |
Alk Phos (normal=38–126 IU/L) | – | Normal/slightly ↑ | ↑↑ |
GGT (normal=8–23 IU/L) | – | Normal/slightly ↑ | ↑↑ |
Urine bilirubin (normal=absent) | Absent | Present | Present |