Document Detail


Normal fasting-state levels of serum cholyl-conjugated bile acids in Gilbert's syndrome: an aid to the diagnosis.
MedLine Citation:
PMID:  7076117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fasting levels of cholic acid conjugates were determined by radioimmunoassay in the serum of 24 patients with extensively documented Gilbert's syndrome and in 98 healthy controls without unconjugated hyperbilirubinemia. The Gilbert's syndrome patients studied included all three subtypes, as determined from studies of the plasma disappearance kinetics of sulfobromophthalein and indocyanine green. Although patients with structural liver disease severe enough to produce hyperbilirubinemia almost invariably have elevated fasting serum levels of cholic acid conjugates, values were normal in each of the Gilbert's syndrome patients, including patients with metabolic abnormalities in sulfobromophthalein and indocyanine green transport. It is concluded that the measurement of fasting serum levels of cholic acid conjugates is a useful adjunct to the diagnosis of Gilbert's syndrome.
Authors:
J M Vierling; P D Berk; A F Hofmann; J F Martin; A W Wolkoff; B F Scharschmidt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Hepatology (Baltimore, Md.)     Volume:  2     ISSN:  0270-9139     ISO Abbreviation:  Hepatology     Publication Date:    1982 May-Jun
Date Detail:
Created Date:  1982-07-19     Completed Date:  1982-07-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8302946     Medline TA:  Hepatology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  340-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Cholic Acids / blood*
Fasting
Gilbert Disease / blood*,  diagnosis
Humans
Hyperbilirubinemia, Hereditary / blood*
Indocyanine Green / diagnostic use
Kinetics
Radioimmunoassay
Reference Values
Sulfobromophthalein / diagnostic use
Grant Support
ID/Acronym/Agency:
AM 16770/AM/NIADDK NIH HHS; AM 21506/AM/NIADDK NIH HHS; AM 264308/AM/NIADDK NIH HHS
Chemical
Reg. No./Substance:
0/Cholic Acids; 297-83-6/Sulfobromophthalein; 3599-32-4/Indocyanine Green

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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