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2,681 Possible Causes for Green Jaundice, Lactic Acidosis, Scleral Icterus

  • Liver Failure

    Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson’s disease Nail changes: Muehrcke’s nails—paired horizontal white bands[aafp.org] The patient has the same mutation (c.547C T; p.Arg183Trp) as the first case and presented with neonatal lactic acidosis, hypoglycemia and severe episodes of liver failure.[ncbi.nlm.nih.gov] Over the next few weeks, the liver abnormalities and lactic acidosis improved. Neurologic status remained intact throughout the illness.[omim.org]

  • Toxic Hepatitis

    Jaundice as a misadventure of a green tea (camellia sinensis) lover: a case report. Acta Gastroenterol Belg 2008; 71: 409-12.[livertox.nih.gov] A 47-year-old woman was admitted to our clinic with weakness, fatigue, pruritus, and scleral icterus that had developed 10 days prior to presentation.[ncbi.nlm.nih.gov] Hepatic-failure and lactic-acidosis due to fialuridine (fiau), an investigational nucleoside analog for chronic hepatitis B.[ncbi.nlm.nih.gov]

  • Acute Liver Failure

    Jaundice (yellowing of the skin) and scleral icterus (yellowing of the eyes) are often present, but may not be initially noted by patients or their families until relatively[surgery.ucsf.edu] Several patients with lactic acidosis and glucose levels below 1.7 mmol/l who were not in a coma have been reported.[ncbi.nlm.nih.gov] Lactic acidosis is a poor prognostic marker in liver failure related to dengue.[ncbi.nlm.nih.gov]

    Missing: Green Jaundice
  • Isoniazid Hepatitis

    icterus, or “hepatitis” notation 5300 15 (0.37%) b 1 (.019%) Nolan 6 Jan. 1989 to 1 December 1995 Monthly symptom-based screening AST 5x normal with symptoms, and no other[mdedge.com] PubMed Citation (Author reports case from Hel Med Acta [1996; 33: 6-21] in which a 53 year man old developed lactic acidosis within days of starting isoniazid, viomycin and[livertox.nih.gov] ) IUATCP 4 mid-1970s Every-4-week symptom-based screening Not defined 20,840 95 (0.5%) 3 (0.014%) Dash 4 Jan. 1973 to June 1977 Monthly symptom based screening Jaundice, scleral[mdedge.com]

    Missing: Green Jaundice
  • Massive Hepatic Necrosis

    Understanding lactic acidosis in paracetamol (acetaminophen) poisoning. Br J Clin Pharmacol. 2011 Jan;71(1):20-8. doi: 10.1111/j.1365-2125.2010.03765.x.[lifeinthefastlane.com] Lactic acidosis occurs predominantly in paracetomol (also known as acetaminophen) overdose.[en.wikipedia.org] Lactic acidosis.[patient.info]

    Missing: Green Jaundice
  • Glycogen Storage Disease Type 1

    The patient presented at 9 months of age with severe lactic acidosis and hypoglycaemia.[ncbi.nlm.nih.gov] Other features include lactic acidosis, hyperlipidemia, hyperuricemia, and hypoglycemic seizures.[xpertdox.com] The hallmark features of this disease are hypoglycemia, lactic acidosis, hyperuricemia, and hyperlipidemia.[themedicalbiochemistrypage.org]

    Missing: Green Jaundice
  • Drug-induced Cholestatic Hepatitis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] His pertinent physical exam findings were scleral icterus and jaundice all over the body and evidence of scratch marks and excoriations from itching but no abdominal distention[karger.com] Metformin is known to cause lactic acidosis, however, development of cholestatic hepatitis due to metformin has not been reported.[nature.com]

  • Rotor Syndrome

    Deficiency of OATP1B1 and OATP1B3 also explains the poor uptake by the liver of unconjugated bilirubin and anionic dyes such as bromosulfophthalein, indocyanin green, rose[ncbi.nlm.nih.gov] Unlike true jaundice, carotenemia does not result in scleral icterus or elevation of the bilirubin level. 8 PREHEPATIC CAUSES Unconjugated hyperbilirubinemia results from[aafp.org] ( Metabolic, Respiratory, Lactic ) - Alkalosis ( Metabolic, Respiratory ) - Mixed disorder of acid-base balance - H 2 O Dehydration / Hypervolemia - K Hypokalemia / Hyperkalemia[wikidoc.org]

  • Alcohol Abuse

    External examination revealed marked scleral icterus and cutaneous jaundice.[ncbi.nlm.nih.gov] In our case, the main pathogenesis could be accounted for low systemic perfusion caused by severe alcoholic lactic acidosis.[ncbi.nlm.nih.gov] He developed moderate neutropenia and severe lactic acidosis.[ncbi.nlm.nih.gov]

    Missing: Green Jaundice
  • Liver Cirrhosis

    In the presented case, the authors describe an obese middle-aged man that presented to the emergency department for persistent oedema, scleral icterus and fatigue.[ncbi.nlm.nih.gov] Despite stable hemodynamics, lactic acidosis still persisted, and linezolid therapeutic drug monitoring was ordered.[ncbi.nlm.nih.gov] A compelling clinical picture required, in the absence of other explanations, the presence of at least 4 of the following: spider nevi, scleral icterus, palmar erythema, ascites[dx.doi.org]

    Missing: Green Jaundice

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