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Intermittent jaundice

MedGen UID:
871317
Concept ID:
C4025805
Sign or Symptom
Synonyms: Icterus, intermittent; Jaundice (intermittent); Jaundice, intermittent
 
HPO: HP:0001046

Definition

Jaundice that is sometimes present, sometimes not. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIntermittent jaundice

Conditions with this feature

Elliptocytosis 3
MedGen UID:
357139
Concept ID:
C1866810
Disease or Syndrome
Hereditary elliptocytosis-3 (EL3) is a hemolytic disorder characterized by the presence of elliptical erythrocytes and resulting in some cases in hemolytic anemia (summary by Qualtieri et al., 1997). For a general description and a discussion of genetic heterogeneity of hereditary elliptocytosis (HE), see EL1 (611804).
Red cell phospholipid defect with hemolysis
MedGen UID:
357960
Concept ID:
C1867339
Disease or Syndrome
Progressive familial intrahepatic cholestasis type 2
MedGen UID:
483742
Concept ID:
C3489789
Disease or Syndrome
The phenotypic spectrum of ATP8B1 deficiency ranges from severe through moderate to mild. Severe ATP8B1 deficiency is characterized by infantile-onset cholestasis that progresses to cirrhosis, hepatic failure, and early death. Although mild-to-moderate ATP8B1 deficiency initially was thought to involve intermittent symptomatic cholestasis with a lack of hepatic fibrosis, it is now known that hepatic fibrosis may be present early in the disease course. Furthermore, in some persons with ATP8B1 deficiency the clinical findings can span the phenotypic spectrum, shifting over time from the mild end of the spectrum (episodic cholestasis) to the severe end of the spectrum (persistent cholestasis). Sensorineural hearing loss (SNHL) is common across the phenotypic spectrum.
Benign recurrent intrahepatic cholestasis type 1
MedGen UID:
1637492
Concept ID:
C4551899
Disease or Syndrome
The phenotypic spectrum of ATP8B1 deficiency ranges from severe through moderate to mild. Severe ATP8B1 deficiency is characterized by infantile-onset cholestasis that progresses to cirrhosis, hepatic failure, and early death. Although mild-to-moderate ATP8B1 deficiency initially was thought to involve intermittent symptomatic cholestasis with a lack of hepatic fibrosis, it is now known that hepatic fibrosis may be present early in the disease course. Furthermore, in some persons with ATP8B1 deficiency the clinical findings can span the phenotypic spectrum, shifting over time from the mild end of the spectrum (episodic cholestasis) to the severe end of the spectrum (persistent cholestasis). Sensorineural hearing loss (SNHL) is common across the phenotypic spectrum.

Professional guidelines

PubMed

Yang XW, Wang K, Yang J, Man XB, Zhang BH, Shen F, Wu MC
Hepatogastroenterology 2012 Nov-Dec;59(120):2432-5. doi: 10.5754/hge12143. PMID: 22497947
Massoud AM, El-Sherbini ET, Mos N, Saleh NM, Abouel-Nour MF, Morsy AT
J Egypt Soc Parasitol 2010 Apr;40(1):119-34. PMID: 20503592

Recent clinical studies

Etiology

Almohtadi A, Ahmed F, Mohammed F, Sanhan M, Ghabisha A, Al-Moliki L
Pan Afr Med J 2022;41:204. Epub 2022 Mar 14 doi: 10.11604/pamj.2022.41.204.34088. PMID: 35685111Free PMC Article
Yang XW, Yang J, Li L, Yan XZ, Zhang BH, Shen F, Wu MC
PLoS One 2014;9(4):e92010. Epub 2014 Apr 11 doi: 10.1371/journal.pone.0092010. PMID: 24727803Free PMC Article
Girard M, Lacaille F, Verkarre V, Mategot R, Feldmann G, Grodet A, Sauvat F, Irtan S, Davit-Spraul A, Jacquemin E, Ruemmele F, Rainteau D, Goulet O, Colomb V, Chardot C, Henrion-Caude A, Debray D
Hepatology 2014 Jul;60(1):301-10. Epub 2014 May 27 doi: 10.1002/hep.26974. PMID: 24375397
Hawkes ND, Mutimer D, Thomas GA
Postgrad Med J 2001 Jun;77(908):406-7, 412-3. doi: 10.1136/pmj.77.908.406. PMID: 11375459Free PMC Article
Ryckman FC, Noseworthy J
Semin Liver Dis 1987 May;7(2):134-54. doi: 10.1055/s-2008-1040572. PMID: 3303345

Diagnosis

Revathi G, Singh BK, Rathore YS, Chumber S
BMJ Case Rep 2021 Oct 13;14(10) doi: 10.1136/bcr-2021-244393. PMID: 34645627Free PMC Article
Dávila-Ruiz EO, García-Manzano RA, Barker-Antonio A, Martínez-Santiago NY, Isidoro-Hernández D, Sánchez-Guerrero RI
Cir Cir 2020;88(Suppl 2):60-65. doi: 10.24875/CIRU.20000332. PMID: 33284277
Jackson DE Jr, Floyd JL
Clin Nucl Med 1986 Feb;11(2):77-8. doi: 10.1097/00003072-198602000-00001. PMID: 3769347
Phatak PS
Proc R Soc Med 1974 Oct;67(10):1025-6. PMID: 4427889Free PMC Article
Graziani D, Marks LM, Lim R, Friedell M, Swerdlow M
Am J Gastroenterol 1965 Dec;44(6):565-71. PMID: 5845776

Therapy

Yang XW, Yang J, Li L, Yan XZ, Zhang BH, Shen F, Wu MC
PLoS One 2014;9(4):e92010. Epub 2014 Apr 11 doi: 10.1371/journal.pone.0092010. PMID: 24727803Free PMC Article
Ray S, Bhattacharya SP
JSLS 2013 Apr-Jun;17(2):330-2. doi: 10.4293/108680813X13654754534350. PMID: 23925031Free PMC Article
Yang XW, Wang K, Yang J, Man XB, Zhang BH, Shen F, Wu MC
Hepatogastroenterology 2012 Nov-Dec;59(120):2432-5. doi: 10.5754/hge12143. PMID: 22497947
Burak KW, Pearson DC, Swain MG, Kelly J, Urbanski SJ, Bridges RJ
J Hepatol 2000 Jan;32(1):159-63. doi: 10.1016/s0168-8278(00)80203-2. PMID: 10673081
Kimura T, Akaba K, Ikegami T, Akiba K, Kanazawa C, Katsuura M, Shimizu Y, Imaizumi M, Lin C, Hayasaka K
J Inherit Metab Dis 1999 Aug;22(6):747-53. doi: 10.1023/a:1005552302264. PMID: 10472535

Prognosis

Yang XW, Yang J, Li L, Yan XZ, Zhang BH, Shen F, Wu MC
PLoS One 2014;9(4):e92010. Epub 2014 Apr 11 doi: 10.1371/journal.pone.0092010. PMID: 24727803Free PMC Article
Yang XW, Wang K, Yang J, Man XB, Zhang BH, Shen F, Wu MC
Hepatogastroenterology 2012 Nov-Dec;59(120):2432-5. doi: 10.5754/hge12143. PMID: 22497947
Hawkes ND, Mutimer D, Thomas GA
Postgrad Med J 2001 Jun;77(908):406-7, 412-3. doi: 10.1136/pmj.77.908.406. PMID: 11375459Free PMC Article
Capizzi PJ, Rosen CB, Nagorney DM
Gastroenterology 1992 Nov;103(5):1669-73. doi: 10.1016/0016-5085(92)91194-9. PMID: 1330801
Santman FW, Thijs LG, Van Der Veen EA, Den Otter G, Blok P
Gastroenterology 1977 Feb;72(2):325-8. PMID: 830585

Clinical prediction guides

Tao Y, Han D, Li X, Wang L, Yue L, Huang C, Lu D, Li X
Clin Chim Acta 2020 Oct;509:8-17. Epub 2020 May 30 doi: 10.1016/j.cca.2020.05.051. PMID: 32485156
Yang XW, Yang J, Li L, Yan XZ, Zhang BH, Shen F, Wu MC
PLoS One 2014;9(4):e92010. Epub 2014 Apr 11 doi: 10.1371/journal.pone.0092010. PMID: 24727803Free PMC Article
Yang XW, Wang K, Yang J, Man XB, Zhang BH, Shen F, Wu MC
Hepatogastroenterology 2012 Nov-Dec;59(120):2432-5. doi: 10.5754/hge12143. PMID: 22497947
Reardon DM, Seymour CA, Cox TM, Pinder JC, Schofield AE, Tanner MJ
Br J Haematol 1993 Sep;85(1):197-9. doi: 10.1111/j.1365-2141.1993.tb08670.x. PMID: 8251392

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