Hereditary spherocytosis coexisting with Gilbert's syndrome: a diagnostic dilemma

Garg PK, Kumar A, Teckchandani N, Hadke NS
Correspondence: Dr Pankaj Kumar Garg, dr.pankajgarg@gmail.com

ABSTRACT
Haemolytic anaemia generally gives rise to only a modest elevation of serum bilirubin. Unconjugated hyperbilirubinaemia of an extreme degree should raise suspicion of additional factors, such as Gilbert's syndrome, hepatocellular dysfunction or renal failure. We present a 17-year-old boy with hereditary spherocytosis coexisting with Gilbert's syndrome.

Keywords: Gilbert’s syndrome, haemolytic anaemia, hereditary spherocytosis, unconjugated hyperbilirubinaemia
Singapore Med J 2008; 49(11): e308-e309