Jaundice causes: Difference between revisions
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{{CMG}} | {{CMG}}; {{AE}} {{FA}} | ||
{{Jaundice}} | {{Jaundice}} | ||
==Overview== | ==Overview== | ||
Common causes of jaundice are classified under conjugated and unconjugated hyperbilirubinemia. Unconjugated hyperbilirubinemia is caused by either increased [[bilirubin]] production in the body, impaired [[hepatic]] [[bilirubin]] uptake in the [[liver]] or impaired [[bilirubin]] uptake in the [[liver]], all of which causes pooling of unconjugated bilirubin in the body leading to unconjugated hyperbilirubinemia. On the other hand, intra or extra hepatic [[cholestasis]] lead to accumulation of conjugated [[bilirubin]] causing conjugated hyperbilirubinemia. | |||
==Causes== | |||
Jaundice may be caused by:<ref name="pmid28145671">{{cite journal| author=Fargo MV, Grogan SP, Saguil A| title=Evaluation of Jaundice in Adults. | journal=Am Fam Physician | year= 2017 | volume= 95 | issue= 3 | pages= 164-168 | pmid=28145671 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28145671 }} </ref><ref name="pmid256472092">{{cite journal| author=VanWagner LB, Green RM| title=Evaluating elevated bilirubin levels in asymptomatic adults. | journal=JAMA | year= 2015 | volume= 313 | issue= 5 | pages= 516-7 | pmid=25647209 | doi=10.1001/jama.2014.12835 | pmc=4424929 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25647209 }}</ref><ref name="pmid29187150">{{cite journal| author=Gadia CLB, Manirakiza A, Tekpa G, Konamna X, Vickos U, Nakoune E| title=Identification of pathogens for differential diagnosis of fever with jaundice in the Central African Republic: a retrospective assessment, 2008-2010. | journal=BMC Infect Dis | year= 2017 | volume= 17 | issue= 1 | pages= 735 | pmid=29187150 | doi=10.1186/s12879-017-2840-8 | pmc=5707826 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29187150 }} </ref> | |||
=== '''Unconjugated hyperbilirubinemia''' === | |||
Causes of unconjugated hyperbilirubenemia includes:<ref name="pmid20808649">{{cite journal| author=Arora V, Kulkarni RK, Cherian S, Pillai R, Shivali M| title=Hyperbilirubinemia in normal healthy donors. | journal=Asian J Transfus Sci | year= 2009 | volume= 3 | issue= 2 | pages= 70-2 | pmid=20808649 | doi=10.4103/0973-6247.53875 | pmc=2920475 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20808649 }}</ref><ref name="pmid14013759">{{cite journal| author=ARIAS IM| title=Chronic unconjugated hyperbilirubinemia without overt signs of hemolysis in adolescents and adults. | journal=J Clin Invest | year= 1962 | volume= 41 | issue= | pages= 2233-45 | pmid=14013759 | doi=10.1172/JCI104682 | pmc=291158 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14013759 }}</ref> | |||
==Causes== | ==== Common Causes ==== | ||
* Increased [[bilirubin]] production: | |||
** Extravascular [[hemolysis]] | |||
** Extravasation of [[blood]] into tissues | |||
**[[Intravascular]] [[hemolysis]] | |||
**[[Wilson's disease|Wilson's disease]] | |||
*Impaired hepatic [[bilirubin]] uptake: | |||
**[[Heart failure]] | |||
**Portosystemic shunts | |||
**Drugs - [[Rifampin]], [[Probenecid]] | |||
*Impaired [[bilirubin]] conjugation:<ref name="pmid12198827">{{cite journal| author=Drenth JP, Peters WH, Jansen JB| title=[From gene to disease; unconjugated hyperbilirubinemia: Gilbert's syndrome and Crigler-Najjar types I and II]. | journal=Ned Tijdschr Geneeskd | year= 2002 | volume= 146 | issue= 32 | pages= 1488-90 | pmid=12198827 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12198827 }}</ref> | |||
**[[Crigler-Najjar syndrome type 1|Crigler-Najjar syndrome types I and II]] | |||
**[[Gilbert's syndrome|Gilbert syndrome]] | |||
**[[Ethinylestradiol|Ethinyl estradiol]] | |||
**Liver diseases - [[chronic hepatitis]], advanced [[cirrhosis]] | |||
==== Less Common Causes ==== | |||
*Increased [[bilirubin]] production: | |||
**[[Dyserythropoiesis]] | |||
*Impaired hepatic [[bilirubin]] uptake: | |||
**Some patients with [[Gilbert's syndrome|Gilbert syndrome]] | |||
**[[Drugs]] - Flavaspadic acid, Bunamiodyl | |||
*Impaired [[bilirubin]] conjugation: | |||
**[[Neonates]] | |||
**[[Hyperthyroidism]] | |||
=== '''Conjugated hyperbilirubinemia''' === | |||
Causes of conjugated hyperbilirubinimia includes: <ref>{{cite book | last = Kasper | first = Dennis | title = Harrison's principles of internal medicine | publisher = McGraw Hill Education | location = New York | year = 2015 | isbn = 978-0-07-180215-4 }}</ref> | |||
=== | ==== Common Causes ==== | ||
*[[Intrahepatic cholestasis]]: | |||
**[[Viral hepatitis]]<ref name="pmid29187150">{{cite journal| author=Gadia CLB, Manirakiza A, Tekpa G, Konamna X, Vickos U, Nakoune E| title=Identification of pathogens for differential diagnosis of fever with jaundice in the Central African Republic: a retrospective assessment, 2008-2010. | journal=BMC Infect Dis | year= 2017 | volume= 17 | issue= 1 | pages= 735 | pmid=29187150 | doi=10.1186/s12879-017-2840-8 | pmc=5707826 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29187150 }} </ref> | |||
**[[Alcoholic hepatitis]]<ref name="LuceyMathurin2009">{{cite journal|last1=Lucey|first1=Michael R.|last2=Mathurin|first2=Philippe|last3=Morgan|first3=Timothy R.|title=Alcoholic Hepatitis|journal=New England Journal of Medicine|volume=360|issue=26|year=2009|pages=2758–2769|issn=0028-4793|doi=10.1056/NEJMra0805786}}</ref> | |||
**[[Non-alcoholic fatty liver disease]] | |||
**[[Chronic hepatitis]] | |||
**[[Primary biliary cirrhosis]]<ref name="LuceyMathurin2009">{{cite journal|last1=Lucey|first1=Michael R.|last2=Mathurin|first2=Philippe|last3=Morgan|first3=Timothy R.|title=Alcoholic Hepatitis|journal=New England Journal of Medicine|volume=360|issue=26|year=2009|pages=2758–2769|issn=0028-4793|doi=10.1056/NEJMra0805786}}</ref> | |||
**[[Drugs]] and [[Toxin|toxins]] (eg, alkylated [[Steroid|steroids]], [[chlorpromazine]], herbal medications [eg, Jamaican bush tea], [[arsenic]]) | |||
**[[Sepsis]] and hypoperfusion states | |||
**Infiltrative diseases (eg, [[amyloidosis]], [[lymphoma]], [[sarcoidosis]], [[tuberculosis]]) | |||
**[[Pregnancy]] | |||
**[[Cirrhosis]] | |||
*[[Extrahepatic cholestasis]] ([[biliary obstruction]]): | |||
**[[Choledocholithiasis]] | |||
**Intrinsic and extrinsic tumors (eg, [[cholangiocarcinoma]]) | |||
**[[Primary sclerosing cholangitis]] | |||
**[[Acute pancreatitis|Acute]] and [[chronic pancreatitis]] | |||
==== Common Causes | ==== Less Common Causes ==== | ||
* | *[[Intrahepatic cholestasis|Intrahepatic cholestasis:]] | ||
**[[Total parenteral nutrition]] | |||
**Postoperative [[cholestasis]] | |||
**Following [[Organ transplant|organ transplantation]] | |||
**Hepatic crisis in [[Sickle-cell disease|sickle-cell disease]] | |||
*[[Extrahepatic cholestasis]] ([[biliary obstruction]]): | |||
**[[HIV AIDS|AIDS]] cholangiopathy | |||
**Certain [[parasitic infections]] (eg, [[Ascaris lumbricoides]], [[Opisthorchis felineus|liver flukes]]) | |||
**[[Strictures]] after invasive procedures | |||
*Defect of canalicular organic anion transport: | |||
**[[Dubin-Johnson syndrome]] | |||
*Defect of sinusoidal re uptake of [[conjugated bilirubin]]: | |||
**[[Rotor syndrome]] | |||
** | |||
* | |||
** | |||
*** | |||
** | |||
* | |||
** | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
{| style="width:78%; height:100px" border="1" | {| style="width:78%; height:100px" border="1" | ||
| style="width:25%" bgcolor="LightSteelBlue" ; border="1" | '''Cardiovascular''' | | style="width:25%" bgcolor="LightSteelBlue" ; border="1" | '''Cardiovascular''' | ||
| style="width:75%" bgcolor="Beige" ; border="1" | [[Eclampsia]], [[Alagille syndrome]], [[Infective endocarditis]], [[Lupus]], [[Trisomy 18]] | | style="width:75%" bgcolor="Beige" ; border="1" | [[Eclampsia]], [[Alagille syndrome]], [[Infective endocarditis]], [[Lupus]], [[Trisomy 18]], [[Heart failure]] | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Chemical / poisoning''' | | '''Chemical / poisoning''' | ||
| bgcolor="Beige" | | | bgcolor="Beige" | | ||
[[1,2-Dibromoethane]], [[2-acetylamino-fluorene]], [[2-Nitropropane]], [[3,3-Dichlorobenzidine]], [[4-Dimethylaminoazobenzene]], [[8-Hydroxyquinolone]], [[Acer rubrum]], [[Acetates]], [[Acetonitrile]], [[Acetylene Tetrabromide]], [[Acrylonitrile]], [[Aflatoxin]], [[Albitocin]], [[Alicyclic Hydrocarbons]], [[Aliphatic Amines]], [[Aliphatic Hydrocarbons]], [[Aliphatic hydrogenated hydrocarbons]], [[Allyl alcohol]], [[Amanita phalloides]], [[Aromatic amines]], [[Aromatic halogenated hydrocarbons]], [[Aromatic Hydrocarbons]], [[Arsenic]], [[Arsine]], [[Benzene]], [[Benzyl chloride]], [[Beryllium]], [[Bipyridyl pesticides]], [[Black nightshade poisoning]], [[Boron]], [[Cadmium]], [[Capecitabine]], [[Carbarsone]], [[Carbolic Acids and Anhydrides]], [[Carbon Disulfide]], [[Carbon Tetrachloride]], [[caspofungin acetate]], [[Chloramphenicol]], [[Chlorate salts]], [[Chlordane]], [[Chlorinated benzenes]], [[Chlorinated naphthalene]], [[Chlorodiphenyls and derivatives]], [[Chloroform]], [[Chloromethane]], [[Chloroprene]], [[Chromium]], [[Comfrey]], [[Copper]], [[Cresol]], [[Cycasin]], [[Cyclochlorotine]],[[Dapsone]], [[Dibromochloropropane]], [[Diethylene Glycol]], [[Dimethyl sulfate]], [[Dimethylnitrosamine]], [[Dinitrobenzene]], [[Dinitrocresol]], [[Dinitrophenol]], [[Dinitrotoluene]], [[Eltrombopag]], [[Ethanolamines]], [[Ethyl Acetate]], [[Ethyl alcohol]], [[Ethyl benzene]], [[Ethyl Ether]], [[Ethyl Salicylate]], [[Ethylene chlorohydrin]], [[Ethylene Dibromide]], [[Ethylene dichloride]], [[Ethylene oxide]], [[Ethylenediamine]], [[Fluoxymesterone]], [[Germander]], [[Germanium]], [[Gold]], [[Hafnium]], [[Horse nettle ]] , [[Hydrochlorothiazide]] ,[[Icterogenin]], [[Hydrogen bromides]], [[Hydrogen Cyanide]], [[Indospicine]], [[Isopropyl acetate]], [[Kepone pesticides]], [[Lanthanides]], [[Lead]], [[Mercaptans]], [[Mercury]], [[Meropenem]], [[Methoxyflurane]], [[Methyl acetate]], [[Methyl Bromide]], [[Methyl Chloride]], [[Methylene chloride]], [[Methylene Dianiline]], [[Metolachlor]], [[miltefosine]], [[Monomethylhydrazine]],[[Nabumetone]], [[N,N-Dimethylformamide]], [[N-butyl acetate]], [[N-N-Dimethylacetamide]], [[N-Nitrosodimethylamine]], [[N-propyl acetate]], [[Naphthalene]], [[Naphthol]], [[Ngaione]], [[Nickel]], [[Niobium]], [[Nitriles]], [[Nitrobenzene]], [[Nitromethane]], [[Nitroparaffins]], [[Ochratoxin]], [[Para-Dichlorobenzene]], [[Phosphine]], [[Phosphorus]], [[Phthalic Anhydride]], [[Picric Acid]], [[Polybrominated biphenyls]], [[Polychlorinated biphenyls]], [[Polygonum multiflorum]], [[Propylene dichloride]], [[Psoralea Corylifolia]], [[Pyrogallol]], [[Pyrrolidizine]], [[Ragwort]], [[Rubratoxin]], [[Safrole]], [[Solanine]], [[Solder]], [[Sterigmatocystin]], [[Stibine]],, [[Tellurium]], [[Tetrachloroethane]], [[Tetrachloroethylene]], [[Tetramethylthiuram disulfide]], [[Thallium]], [[Thioxanthene]], [[Thorium dioxide]], [[Thorotrast ]] , [[Toluene]], [[Trichloroethylene]], [[Trinitrotoluene]], [[Uranium]], [[Vicia faba]], [[Vinyl Chloride]], [[White Phosphorus]], [[Xylene]] | [[1,2-Dibromoethane]], [[2-acetylamino-fluorene]], [[2-Nitropropane]], [[3,3-Dichlorobenzidine]], [[4-Dimethylaminoazobenzene]], [[8-Hydroxyquinolone]], [[Acer rubrum]], [[Acetates]], [[Acetonitrile]], [[Acetylene Tetrabromide]], [[Acrylonitrile]], [[Aflatoxin]], [[Albitocin]], [[Alicyclic Hydrocarbons]], [[Aliphatic Amines]], [[Aliphatic Hydrocarbons]], [[Aliphatic hydrogenated hydrocarbons]], [[Allyl alcohol]], [[Amanita phalloides]], [[Aromatic amines]], [[Aromatic halogenated hydrocarbons]], [[Aromatic Hydrocarbons]], [[Arsenic]], [[Arsine]], [[Benzene]], [[Benzyl chloride]], [[Beryllium]], [[Bipyridyl pesticides]], [[Black nightshade poisoning]], [[Boron]], [[Cadmium]], [[Capecitabine]], [[Carbarsone]], [[Carbolic Acids and Anhydrides]], [[Carbon Disulfide]], [[Carbon Tetrachloride]], [[caspofungin acetate]], [[Chloramphenicol]], [[Chlorate salts]], [[Chlordane]], [[Chlorinated benzenes]], [[Chlorinated naphthalene]], [[Chlorodiphenyls and derivatives]], [[Chloroform]], [[Chloromethane]], [[Chloroprene]], [[Chromium]], [[Comfrey]], [[Copper]], [[Cresol]], [[Cycasin]], [[Cyclochlorotine]],[[Dapsone]], [[Dibromochloropropane]], [[Diethylene Glycol]], [[Dimethyl sulfate]], [[Dimethylnitrosamine]], [[Dinitrobenzene]], [[Dinitrocresol]], [[Dinitrophenol]], [[Dinitrotoluene]], [[Eltrombopag]], [[Ethanolamines]], [[Ethyl Acetate]], [[Ethyl alcohol]], [[Ethyl benzene]], [[Ethyl Ether]], [[Ethyl Salicylate]], [[Ethylene chlorohydrin]], [[Ethylene Dibromide]], [[Ethylene dichloride]], [[Ethylene oxide]], [[Ethylenediamine]], [[Fluoxymesterone]], [[Germander]], [[Germanium]], [[Gold]], [[Hafnium]], [[Horse nettle ]] , [[Hydrochlorothiazide]] ,[[Icterogenin]], [[Hydrogen bromides]], [[Hydrogen Cyanide]], [[Indospicine]], [[Isopropyl acetate]], [[Kepone pesticides]], [[Lanthanides]], [[Lead]], [[Mercaptans]], [[Mercury]], [[Meropenem]], [[Methoxyflurane]], [[Methyl acetate]], [[Methyl Bromide]], [[Methyl Chloride]], [[Methylene chloride]], [[Methylene Dianiline]], [[Metolachlor]], [[miltefosine]], [[Monomethylhydrazine]],[[Nabumetone]], [[N,N-Dimethylformamide]], [[N-butyl acetate]], [[N-N-Dimethylacetamide]], [[N-Nitrosodimethylamine]], [[N-propyl acetate]], [[Naphthalene]], [[Naphthol]], [[Ngaione]], [[Nickel]], [[Niobium]], [[Nitriles]], [[Nitrobenzene]], [[Nitromethane]], [[Nitroparaffins]], [[Ochratoxin]], [[Para-Dichlorobenzene]], [[Phosphine]], [[Phosphorus]], [[Phthalic Anhydride]], [[Picric Acid]], [[Polybrominated biphenyls]], [[Polychlorinated biphenyls]], [[Polygonum multiflorum]], [[Probenecid]], [[Propylene dichloride]], [[Psoralea Corylifolia]], [[Pyrogallol]], [[Pyrrolidizine]], [[Ragwort]], [[Rubratoxin]], [[Safrole]], [[Solanine]], [[Solder]], [[Sterigmatocystin]], [[Stibine]],, [[Tellurium]], [[Tetrachloroethane]], [[Tetrachloroethylene]], [[Tetramethylthiuram disulfide]], [[Thallium]], [[Thioxanthene]], [[Thorium dioxide]], [[Thorotrast ]] , [[Toluene]], [[Trichloroethylene]], [[Trinitrotoluene]], [[Uranium]], [[Vicia faba]], [[Vinyl Chloride]], [[White Phosphorus]], [[Xylene]], alkylated [[Steroid|steroids]], [[chlorpromazine]], Jamaican bush tea | ||
|- | |- | ||
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|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
| bgcolor="Beige" |[[5-Fluorocytosine]], [[Acetaminophen and Oxycodone]], [[Aldesleukin]], [[Allopurinol]], [[Alprazolam]], [[Amineptine]], [[Amiodarone]], [[Amlodipine]], [[Amodiaquine]], [[Amphotericin]], [[Anabolic C-17]], [[Aztreonam]], [[Bicalutamide]], [[Bromazepam]], [[Buprenorphine]], [[Butyrophenones]], [[Cabozantinib]], [[Cefaclor]], [[Cefotaxime sodium]], [[Ceftazidime]], [[Ceftibuten]], [[Cephalosporins]], [[Chlordiazepoxide]], [[Chlorpromazine]], [[Cidofovir]], [[Cimetidine]], [[Clarithromycin]], [[Clavulanic acid]], [[Clindamycin]], [[Co-amoxiclav]], [[Cobicistat]], [[Colchicine]],[[crofelemer]], [[Cyclopropane]], [[Cycloserine]], [[Cytarabine]], [[Dantrolene]], [[Dapsone]], [[Daptomycin]], [[Deracoxib]], [[Diazepam]], [[Diflunisal]], [[Diphenoxylate and Atropine]], [[Disulfiram]], [[Docetaxel]], [[Doxepine]], [[Duloxetine]], [[Dydrogesterone]], [[Erythromycin estolate]], [[Erythromycin Ethyl succinate]], [[Estrogen and Progestin]], [[Ethionamide]], [[Fenoprofen]], [[Flucloxacillin]], [[Flurbiprofen]], [[Framycetin]], [[Fusidic acid]], [[Griseofulvin]], [[Halothane]], [[Hycanthone]], [[Hydroxyzine]], [[Ibuprofen]], [[ibuprofen lysine]], [[Idoxuridine]], [[Imipramine]], [[Indinavir]], [[Indomethacin]], [[Isoniazid]], [[Itraconazole]], [[Ixabepilone]], [[Ketoconazole]], [[Loprazolam]], [[Loratadine]], [[Lorazepam]], [[Lormetazepam]], [[Meloxicam]], [[Mepacrine]], [[Mephenytoin]], [[Mercaptopurinr]], [[Metaxalone]], [[Methocarbamol]], [[Methimazole]], [[Methyldopa]], [[Metronidazole]], [[Minocycline]], [[Mirtazapine]], [[Monoamine oxidase inhibitors]], [[Naproxen]], [[Niacin]], [[Nitrofurantoin]], [[Nitrous Oxide]], [[Nizatidine]], [[Novobiocin]], [[Olanzapine]], [[Oxandrolone]], [[Oxaprozin]], [[Oxycodone]], [[p-aminosalicylic acid]], [[Papaverine]], [[Paroxetine]], [[Pegaspargase]], [[Penicillin]], [[Pergolide]], [[Phenol]], [[Phenothiazine]], [[Phenylbutazone]], [[Phenytoin]], [[Piperacillin/tazobactam]], [[pomalidomide]], [[Promethazine]], [[Pyridine]], [[Rifampin]], [[Quinupristin dalfopristin]], [[Quinidine-induced Immune Hemolytic Anemia]], [[Quinolone]], [[Ranitidine]], [[Repaglinide]], [[Rifampicin]], [[Salicylate]], [[sodium sulfate, potassium sulfate and magnesium sulfate]] [[Sibutramine]], [[Sorafenib]], [[Spectinomycin]], [[Sulindac]], [[Sulfasalazine]], [[Sulphonamides]], [[Tamoxifen]], [[Tegaserod]], [[Telithromycin]], [[Tetracycline]], [[Thalidomide]], [[Thiabendazole]], [[Trazodone]], [[Triazolam]], [[Trovafloxacin mesylate]], [[Valproic acid]], [[Vidarabine]], [[Zoxazolamine]], [[zileuton]] | | bgcolor="Beige" |[[5-Fluorocytosine]], [[Acetaminophen and Oxycodone]], [[Aldesleukin]], [[Allopurinol]], [[Alprazolam]], [[Amineptine]], [[Amiodarone]], [[Amlodipine]], [[Amodiaquine]], [[Amphotericin]], [[Anabolic C-17]], [[Aztreonam]], [[Bicalutamide]], [[Bromazepam]], [[Buprenorphine]], [[Butyrophenones]], Bunamiodyl, [[Cabozantinib]], [[Cefaclor]], [[Cefotaxime sodium]], [[Ceftazidime]], [[Ceftibuten]], [[Cephalosporins]], [[Chlordiazepoxide]], [[Chlorpromazine]], [[Cidofovir]], [[Cimetidine]], [[Clarithromycin]], [[Clavulanic acid]], [[Clindamycin]], [[Co-amoxiclav]], [[Cobicistat]], [[Colchicine]],[[crofelemer]], [[Cyclopropane]], [[Cycloserine]], [[Cytarabine]], [[Dantrolene]], [[Dapsone]], [[Daptomycin]], [[Deracoxib]], [[Diazepam]], [[Diflunisal]], [[Diphenoxylate and Atropine]], [[Disulfiram]], [[Docetaxel]], [[Doxepine]], [[Duloxetine]], [[Dydrogesterone]], [[Erythromycin estolate]], [[Erythromycin Ethyl succinate]], [[Estrogen and Progestin]], [[Ethionamide]], [[Fenoprofen]], Flavaspadic acid, [[Flucloxacillin]], [[Flurbiprofen]], [[Framycetin]], [[Fusidic acid]], [[Griseofulvin]], [[Halothane]], [[Hycanthone]], [[Hydroxyzine]], [[Ibuprofen]], [[ibuprofen lysine]], [[Idoxuridine]], [[Imipramine]], [[Indinavir]], [[Indomethacin]], [[Isoniazid]], [[Itraconazole]], [[Ixabepilone]], [[Ketoconazole]], [[Loprazolam]], [[Loratadine]], [[Lorazepam]], [[Lormetazepam]], [[Meloxicam]], [[Mepacrine]], [[Mephenytoin]], [[Mercaptopurinr]], [[Metaxalone]], [[Methocarbamol]], [[Methimazole]], [[Methyldopa]], [[Metronidazole]], [[Minocycline]], [[Mirtazapine]], [[Monoamine oxidase inhibitors]], [[Naproxen]], [[Niacin]], [[Nitrofurantoin]], [[Nitrous Oxide]], [[Nizatidine]], [[Novobiocin]], [[Olanzapine]], [[Oxandrolone]], [[Oxaprozin]], [[Oxycodone]], [[p-aminosalicylic acid]], [[Papaverine]], [[Paroxetine]], [[Pegaspargase]], [[Penicillin]], [[Pergolide]], [[Phenol]], [[Phenothiazine]], [[Phenylbutazone]], [[Phenytoin]], [[Piperacillin/tazobactam]], [[pomalidomide]], [[Promethazine]], [[Pyridine]], [[Rifampin]], [[Quinupristin dalfopristin]], [[Quinidine-induced Immune Hemolytic Anemia]], [[Quinolone]], [[Ranitidine]], [[Repaglinide]], [[Rifampicin]], [[Salicylate]], [[sodium sulfate, potassium sulfate and magnesium sulfate]] [[Sibutramine]], [[Sorafenib]], [[Spectinomycin]], [[Sulindac]], [[Sulfasalazine]], [[Sulphonamides]], [[Tamoxifen]], [[Tegaserod]], [[Telithromycin]], [[Tetracycline]], [[Thalidomide]], [[Thiabendazole]], [[Trazodone]], [[Triazolam]], [[Trovafloxacin mesylate]], [[Valproic acid]], [[Vidarabine]], [[Zoxazolamine]], [[zileuton]] | ||
|- | |- | ||
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| '''Endocrine''' | | '''Endocrine''' | ||
| bgcolor="Beige" |[[Gestational diabetes]], [[Growth hormone deficiency]], [[Hypopituitarism]], [[Hypothyroidism]], [[Thyroid agenesis]] | | bgcolor="Beige" |[[Gestational diabetes]], [[Growth hormone deficiency]], [[Hyperthyroidism]], [[Hypopituitarism]], [[Hypothyroidism]], [[Thyroid agenesis]] | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
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|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
| bgcolor="Beige" |[[Accessory pancreas]], [[Acinic cell carcinoma]], [[Acral dysostosis -- dyserythropoiesis ]] , [[Acute Cholecystitis]], [[Acute fatty liver of pregnancy]], [[Acute hepatitis]], [[Acute liver failure]], [[Addison-Gull syndrome]], [[Alagille syndrome]], [[Alcoholic Hepatitis]], [[Alcoholic liver disease]], [[Hemangiosarcoma|Angiosarcoma of the liver]], [[Arthrogryposis|Arthrogryposis -- renal dysfunction -- cholestasis syndrome]], [[Ascending cholangitis]], [[Autoimmune Hepatitis]], [[Baber's syndrome]], [[Banti's syndrome]], [[Bile duct cancer]], [[Bile duct paucity, non syndromic form]], [[Bile plug syndrome]], [[Biliary atresia]], [[Biliary cirrhosis]], [[Biliary colic]], [[Budd-Chiari syndrome]], [[Byler Disease]], [[Caroli's Disease]], [[Chlorpropamide]], [[Cholangiocarcinoma]], [[Cholangitis]], [[Choledochal cyst, hand malformation]], [[Choledochal cysts]], [[Choledocholithiasis]], [[Cholestasis]], [[Cholestasis -- pigmentary retinopathy -- cleft palate]], [[Chronic cholecystitis]], [[Chronic Hepatitis]], [[Cirrhosis of liver]], [[Colorectal cancer]], [[Crigler-Najjar syndrome]], [[Eosinophilic gastroenteritis]], [[Esophageal cancer]], [[Gallbladder cancer]], [[Gallstones]], [[Gilbert's syndrome]], [[Hemosuccus pancreaticus]], [[Hepatic amyloidosis with intrahepatic cholestasis]], [[Hepatic encephalopathy syndrome]], [[Hepatoma]], [[Hyperemesis gravidarum]], [[Idiopathic liver cirrhosis]], [[Intrahepatic cholangiocarcinoma]], [[Intrahepatic cholestasis of pregnancy]], [[Islet Cell adenoma]], [[Liver cancer]], [[Mirizzi's syndrome]], [[Mosse syndrome]], [[Neonatal hepatitis]], [[Neuroma biliary tract]], [[Non-alcoholic fatty liver disease]], [[Obliterative portal venopathy]], [[Pancreatic adenoma]], [[Pancreatic cancer]], [[Pancreatitis]], [[Pancreatoblastoma]], [[Papillary stenosis]], [[Peliosis hepatis]], [[Portal hypertension]], [[Primary biliary cirrhosis]], [[Primary sclerosing cholangitis]], [[Sarcoma botryoides of common bile duct]], [[Secondary Biliary Cirrhosis]], [[Xanthogranulomatous cholecystitis]], [[Xanthomatous biliary cirrhosis]], [[Zieve's syndrome]], [[NISCH syndrome]], [[Benign intrahepatic cholestasis ]] , [[Dubin-Johnson syndrome]], [[Familial Selective Vitamin B12 Malabsorption]], [[Hemochromatosis]], [[Imerslund-Najman-Grasbeck Syndrome]], [[Progressive familial intrahepatic cholestasis (PFIC) ]] , [[Summerskill-Walshe-Tygstrup syndrome]], [[HELLP syndrome]], [[Heptaosplenic T-cell Lymphoma]], [[Pernicious anemia]], [[Alpha 1-Antitrypsin Deficiency ]] , [[Viral Hepatitis A]], [[Viral Hepatitis B]], [[Viral Hepatitis C]], [[Viral Hepatitis D]], [[Viral Hepatitis E]], [[Viral hepatitis X (non-A,-B,-C,-D,-E)]], [[Reynolds syndrome]], [[Deal-Barratt-Dillon syndrome]], [[Aagenaes syndrome ]] , [[Infectious mononucleosis]], [[Fanconi-ichthyosis-dysmorphism]], [[Wilson's Disease]], [[Cholesteryl ester storage disease]], [[Chediak-Higashi syndrome]], [[Weil's disease]], [[Exocrine Pancreatic Insufficiency, Dyserythropoietic Anemia, And Calvarial Hyperostosis]], [[Zellweger syndrome]], [[Trisomy 18]] | | bgcolor="Beige" |[[Accessory pancreas]], [[Acinic cell carcinoma]], [[Acral dysostosis -- dyserythropoiesis ]] , [[Acute Cholecystitis]], [[Acute fatty liver of pregnancy]], [[Acute hepatitis]], [[Acute liver failure]], [[Addison-Gull syndrome]], [[Alagille syndrome]], [[Alcoholic Hepatitis]], [[Alcoholic liver disease]], [[Hemangiosarcoma|Angiosarcoma of the liver]], [[Arthrogryposis|Arthrogryposis -- renal dysfunction -- cholestasis syndrome]], [[Ascending cholangitis]], [[Autoimmune Hepatitis]], [[Baber's syndrome]], [[Banti's syndrome]], [[Bile duct cancer]], [[Bile duct paucity, non syndromic form]], [[Bile plug syndrome]], [[Biliary atresia]], [[Biliary cirrhosis]], [[Biliary colic]], [[Budd-Chiari syndrome]], [[Byler Disease]], [[Caroli's Disease]], [[Chlorpropamide]], [[Cholangiocarcinoma]], [[Cholangitis]], [[Choledochal cyst, hand malformation]], [[Choledochal cysts]], [[Choledocholithiasis]], [[Cholestasis]], [[Cholestasis -- pigmentary retinopathy -- cleft palate]], [[Chronic cholecystitis]], [[Chronic Hepatitis]], [[Cirrhosis of liver]], [[Colorectal cancer]], [[Crigler-Najjar syndrome]], [[Eosinophilic gastroenteritis]], [[Esophageal cancer]], [[Gallbladder cancer]], [[Gallstones]], [[Gilbert's syndrome]], [[Hemosuccus pancreaticus]], [[Hepatic amyloidosis with intrahepatic cholestasis]], [[Hepatic encephalopathy syndrome]], [[Hepatoma]], [[Hyperemesis gravidarum]], [[Idiopathic liver cirrhosis]], [[Intrahepatic cholangiocarcinoma]], [[Intrahepatic cholestasis of pregnancy]], [[Islet Cell adenoma]], [[Liver cancer]], [[Mirizzi's syndrome]], [[Mosse syndrome]], [[Neonatal hepatitis]], [[Neuroma biliary tract]], [[Non-alcoholic fatty liver disease]], [[Obliterative portal venopathy]], [[Pancreatic adenoma]], [[Pancreatic cancer]], [[Pancreatitis]], [[Pancreatoblastoma]], [[Papillary stenosis]], [[Peliosis hepatis]], [[Portal hypertension]], Portosystemic shunts, [[Primary biliary cirrhosis]], [[Primary sclerosing cholangitis]], [[Sarcoma botryoides of common bile duct]], [[Secondary Biliary Cirrhosis]], [[Xanthogranulomatous cholecystitis]], [[Xanthomatous biliary cirrhosis]], [[Zieve's syndrome]], [[NISCH syndrome]], [[Benign intrahepatic cholestasis ]] , [[Dubin-Johnson syndrome]], [[Familial Selective Vitamin B12 Malabsorption]], [[Hemochromatosis]], [[Imerslund-Najman-Grasbeck Syndrome]], [[Progressive familial intrahepatic cholestasis (PFIC) ]] , [[Summerskill-Walshe-Tygstrup syndrome]], [[HELLP syndrome]], [[Heptaosplenic T-cell Lymphoma]], [[Pernicious anemia]], [[Alpha 1-Antitrypsin Deficiency ]] , [[Viral Hepatitis A]], [[Viral Hepatitis B]], [[Viral Hepatitis C]], [[Viral Hepatitis D]], [[Viral Hepatitis E]], [[Viral hepatitis X (non-A,-B,-C,-D,-E)]], [[Reynolds syndrome]], [[Deal-Barratt-Dillon syndrome]], [[Aagenaes syndrome ]] , [[Infectious mononucleosis]], [[Fanconi-ichthyosis-dysmorphism]], [[Wilson's Disease]], [[Cholesteryl ester storage disease]], [[Chediak-Higashi syndrome]], [[Weil's disease]], [[Exocrine Pancreatic Insufficiency, Dyserythropoietic Anemia, And Calvarial Hyperostosis]], [[Zellweger syndrome]], [[Trisomy 18]] | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
Line 116: | Line 118: | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
| bgcolor="Beige" |[[Post operative jaundice]] | | bgcolor="Beige" |[[Post operative jaundice]], [[Strictures]] after invasive procedures | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
| bgcolor="Beige" |[[Alveolar Hydatid Disease .]], [[Aspergillosis]], [[Congenital TORCH infections]], [[Fascioliasis]], [[Infective endocarditis]], [[Malignant boutonneuse fever]], [[Nanukayami]], [[Neonatal sepsis]], [[Omphalitis]], [[Pneumonia]], [[Sepsis]], [[Tuberculosis]], [[Q fever]], [[Relapsing fever]], [[Syphilis]], [[Weil's disease]], [[Histoplasmosis]], [[Malaria]], [[Cytomegalovirus]], [[Hepadnaviruses]], [[Herpes]], [[Infectious mononucleosis]], [[Lábrea fever]], [[Marburg virus]], [[Viral Hepatitis A]], [[Viral Hepatitis B]], [[Viral Hepatitis C]], [[Viral Hepatitis D]], [[Viral Hepatitis E]], [[Viral hepatitis X (non-A,-B,-C,-D,-E)]], [[Ascending cholangitis]], [[Lymphoproliferative syndrome, EBV-Associated, Autosomal]], [[Acute meningitis]] | | bgcolor="Beige" |[[Alveolar Hydatid Disease .]], [[Aspergillosis]], [[Congenital TORCH infections]], [[Fascioliasis]], [[Infective endocarditis]], [[Malignant boutonneuse fever]], [[Nanukayami]], [[Neonatal sepsis]], [[Omphalitis]], [[Pneumonia]], [[Sepsis]], [[Tuberculosis]], [[Q fever]], [[Relapsing fever]], [[Syphilis]], [[Weil's disease]], [[Histoplasmosis]], [[Malaria]], [[Cytomegalovirus]], [[Hepadnaviruses]], [[Herpes]], [[Infectious mononucleosis]], [[Lábrea fever]], [[Marburg virus]], [[Viral Hepatitis A]], [[Viral Hepatitis B]], [[Viral Hepatitis C]], [[Viral Hepatitis D]], [[Viral Hepatitis E]], [[Viral hepatitis X (non-A,-B,-C,-D,-E)]], [[Ascending cholangitis]], [[Lymphoproliferative syndrome, EBV-Associated, Autosomal]], [[Acute meningitis]], [[HIV AIDS|AIDS]], [[Ascaris lumbricoides]], [[Opisthorchis felineus|liver flukes]] | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
Line 132: | Line 134: | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Nutritional / Metabolic''' | | '''Nutritional / Metabolic''' | ||
| bgcolor="Beige" |[[Breast feeding jaundice]], [[Breast milk jaundice]], [[Congenital disorders of glycosylation]], [[Fructose intolerance]], [[Manganese deficiency]], [[Molybdenum deficiency]], [[Organic acidemia]], [[Pyruvate kinase deficiency]], [[Selenium deficiency]], [[Vitamin A overdose]], [[Vitamin B12 Deficiency]], [[Crigler-Najjar syndrome]], [[Gilbert's syndrome]], [[Cholesteryl ester storage disease]], [[Galactosemia]], [[Glutaric aciduria ]] , [[Hereditary fructose intolerance]], [[Lucey-Driscoll syndrome]], [[Niemann-Pick disease]], [[Tyrosinemia]], [[Wolman disease]], [[Acute fatty liver of pregnancy]], [[Aldolase A deficiency ]] | | bgcolor="Beige" |[[Breast feeding jaundice]], [[Breast milk jaundice]], [[Congenital disorders of glycosylation]], [[Fructose intolerance]], [[Manganese deficiency]], [[Molybdenum deficiency]], [[Organic acidemia]], [[Pyruvate kinase deficiency]], [[Selenium deficiency]], [[Vitamin A overdose]], [[Vitamin B12 Deficiency]], [[Crigler-Najjar syndrome]], [[Gilbert's syndrome]], [[Cholesteryl ester storage disease]], [[Galactosemia]], [[Glutaric aciduria ]] , [[Hereditary fructose intolerance]], [[Lucey-Driscoll syndrome]], [[Niemann-Pick disease]], [[Tyrosinemia]], [[Wolman disease]], [[Acute fatty liver of pregnancy]], [[Aldolase A deficiency]], [[Total parenteral nutrition]] | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
Line 184: | Line 186: | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
| bgcolor="Beige" |[[Loxoscelism|Brown Recluse spider bite]] , [[Adrenal hemorrhage|Neonatal adrenal hemorrhage]], [[Neonatal jaundice|Neonatal physiological jaundice]], [[Premature birth]], [[Reye's syndrome]] | | bgcolor="Beige" |[[Loxoscelism|Brown Recluse spider bite]] , [[Adrenal hemorrhage|Neonatal adrenal hemorrhage]], [[Neonatal jaundice|Neonatal physiological jaundice]], [[Premature birth]], [[Reye's syndrome]], [[Organ transplant|organ transplantation]] | ||
|- | |- | ||
|} | |} | ||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
{{columns-list | {{columns-list| | ||
*[[1,2-Dibromoethane]] | *[[1,2-Dibromoethane]] | ||
*[[2-acetylamino-fluorene]] | *[[2-acetylamino-fluorene]] | ||
Line 216: | Line 218: | ||
*[[Addison-Gull syndrome]] | *[[Addison-Gull syndrome]] | ||
*[[Aflatoxin]] | *[[Aflatoxin]] | ||
*[[AIDS]] | |||
*[[Alagille syndrome]] | *[[Alagille syndrome]] | ||
*[[Albitocin]] | *[[Albitocin]] | ||
Line 225: | Line 228: | ||
*[[Aliphatic Hydrocarbons]] | *[[Aliphatic Hydrocarbons]] | ||
*[[Aliphatic hydrogenated hydrocarbons]] | *[[Aliphatic hydrogenated hydrocarbons]] | ||
*Alkylated steroids | |||
*[[Allopurinol]] | *[[Allopurinol]] | ||
*[[Allyl alcohol]] | *[[Allyl alcohol]] | ||
Line 244: | Line 248: | ||
*[[Arsine]] | *[[Arsine]] | ||
*[[Arthrogryposis|Arthrogryposis -- renal dysfunction -- cholestasis syndrome]] | *[[Arthrogryposis|Arthrogryposis -- renal dysfunction -- cholestasis syndrome]] | ||
*[[Ascaris lumbricoides]] | |||
*[[Ascending cholangitis]] | *[[Ascending cholangitis]] | ||
*[[Aspergillosis]] | *[[Aspergillosis]] | ||
Line 258: | Line 263: | ||
*[[Bicalutamide]] | *[[Bicalutamide]] | ||
*[[Bile duct cancer]] | *[[Bile duct cancer]] | ||
* | *Bile duct paucity, non syndromic form | ||
*[[Bile plug syndrome]] | *[[Bile plug syndrome]] | ||
*[[Biliary atresia]] | *[[Biliary atresia]] | ||
Line 274: | Line 279: | ||
*[[Buprenorphine]] | *[[Buprenorphine]] | ||
*[[Butyrophenones]] | *[[Butyrophenones]] | ||
*Bunamiody | |||
*[[Byler Disease]] | *[[Byler Disease]] | ||
*[[Cadmium]] | *[[Cadmium]] | ||
Line 296: | Line 302: | ||
*[[Chloromethane]] | *[[Chloromethane]] | ||
*[[Chloroprene]] | *[[Chloroprene]] | ||
*[[Chlorpromazine]] | |||
*[[Chlorpropamide]] | *[[Chlorpropamide]] | ||
*[[Cholangiocarcinoma]] | *[[Cholangiocarcinoma]] | ||
Line 379: | Line 386: | ||
*[[Favism]] | *[[Favism]] | ||
*[[Fenoprofen]] | *[[Fenoprofen]] | ||
*Flavaspadic acid | |||
*[[Flucloxacillin]] | *[[Flucloxacillin]] | ||
*[[Flurbiprofen]] | *[[Flurbiprofen]] | ||
Line 403: | Line 411: | ||
*[[Halothane]] | *[[Halothane]] | ||
*[[Hashimoto-Pritzker syndrome]] | *[[Hashimoto-Pritzker syndrome]] | ||
*[[Heart failure]] | |||
*[[HELLP syndrome]] | *[[HELLP syndrome]] | ||
*[[Hemochromatosis]] | *[[Hemochromatosis]] | ||
Line 431: | Line 440: | ||
*[[Hydroxyzine]] | *[[Hydroxyzine]] | ||
*[[Hyperemesis gravidarum]] | *[[Hyperemesis gravidarum]] | ||
*[[Hyperthyroidism]] | |||
*[[Hypopituitarism]] | *[[Hypopituitarism]] | ||
*[[Hypothyroidism]] | *[[Hypothyroidism]] | ||
Line 454: | Line 464: | ||
*[[Itraconazole]] | *[[Itraconazole]] | ||
*[[Ixabepilone]] | *[[Ixabepilone]] | ||
*Jamaican bush tea | |||
*[[Kaposiform hemangio-endothelioma]] | *[[Kaposiform hemangio-endothelioma]] | ||
*[[Kawasaki disease]] | *[[Kawasaki disease]] | ||
Line 463: | Line 474: | ||
*[[Lead]] | *[[Lead]] | ||
*[[Lissencephalic syndromes]] | *[[Lissencephalic syndromes]] | ||
*[[liver flukes]] | |||
*[[Liver cancer]] | *[[Liver cancer]] | ||
*[[Loprazolam]] | *[[Loprazolam]] | ||
Line 531: | Line 543: | ||
*[[Ochratoxin]] | *[[Ochratoxin]] | ||
*[[Omphalitis]] | *[[Omphalitis]] | ||
*[[organ transplantation]] | |||
*[[Organic acidemia]] | *[[Organic acidemia]] | ||
*[[Oxaprozin]] | *[[Oxaprozin]] | ||
Line 562: | Line 575: | ||
*[[Porphyria]] | *[[Porphyria]] | ||
*[[Portal hypertension]] | *[[Portal hypertension]] | ||
* | *Portosystemic shunts | ||
*Postoperative jaundice | |||
*[[Premature birth]] | *[[Premature birth]] | ||
*[[Primary biliary cirrhosis]] | *[[Primary biliary cirrhosis]] | ||
*[[Primary sclerosing cholangitis]] | *[[Primary sclerosing cholangitis]] | ||
*[[Probenecid]] | |||
*[[Progressive familial intrahepatic cholestasis (PFIC) ]] | *[[Progressive familial intrahepatic cholestasis (PFIC) ]] | ||
*[[Propylene dichloride]] | *[[Propylene dichloride]] | ||
Line 603: | Line 618: | ||
*[[Sterigmatocystin]] | *[[Sterigmatocystin]] | ||
*[[Stibine]] | *[[Stibine]] | ||
* [[Stribild]] ([[elvitegravir]], [[cobicistat]], [[emtricitabine]], and [[tenofovir]] disoproxil fumarate) | *[[Stribild]] ([[elvitegravir]], [[cobicistat]], [[emtricitabine]], and [[tenofovir]] disoproxil fumarate) | ||
*Strictures after invasive procedures | |||
*[[Sulindac]] | *[[Sulindac]] | ||
*[[Sulphonamides]] | *[[Sulphonamides]] | ||
Line 625: | Line 641: | ||
*[[Thyroid agenesis]] | *[[Thyroid agenesis]] | ||
*[[Toluene]] | *[[Toluene]] | ||
*[[Total parenteral nutrition]] | |||
*[[Transfusion Reaction]] | *[[Transfusion Reaction]] | ||
*[[Trazodone]] | *[[Trazodone]] | ||
Line 664: | Line 681: | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Hepatology]] | [[Category:Hepatology]] | ||
Latest revision as of 22:26, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fatima Shaukat, MD [2]
Jaundice Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Jaundice causes On the Web |
American Roentgen Ray Society Images of Jaundice causes |
Overview
Common causes of jaundice are classified under conjugated and unconjugated hyperbilirubinemia. Unconjugated hyperbilirubinemia is caused by either increased bilirubin production in the body, impaired hepatic bilirubin uptake in the liver or impaired bilirubin uptake in the liver, all of which causes pooling of unconjugated bilirubin in the body leading to unconjugated hyperbilirubinemia. On the other hand, intra or extra hepatic cholestasis lead to accumulation of conjugated bilirubin causing conjugated hyperbilirubinemia.
Causes
Jaundice may be caused by:[1][2][3]
Unconjugated hyperbilirubinemia
Causes of unconjugated hyperbilirubenemia includes:[4][5]
Common Causes
- Increased bilirubin production:
- Extravascular hemolysis
- Extravasation of blood into tissues
- Intravascular hemolysis
- Wilson's disease
- Impaired hepatic bilirubin uptake:
- Heart failure
- Portosystemic shunts
- Drugs - Rifampin, Probenecid
- Impaired bilirubin conjugation:[6]
- Crigler-Najjar syndrome types I and II
- Gilbert syndrome
- Ethinyl estradiol
- Liver diseases - chronic hepatitis, advanced cirrhosis
Less Common Causes
- Increased bilirubin production:
- Impaired hepatic bilirubin uptake:
- Some patients with Gilbert syndrome
- Drugs - Flavaspadic acid, Bunamiodyl
- Impaired bilirubin conjugation:
Conjugated hyperbilirubinemia
Causes of conjugated hyperbilirubinimia includes: [7]
Common Causes
- Intrahepatic cholestasis:
- Viral hepatitis[3]
- Alcoholic hepatitis[8]
- Non-alcoholic fatty liver disease
- Chronic hepatitis
- Primary biliary cirrhosis[8]
- Drugs and toxins (eg, alkylated steroids, chlorpromazine, herbal medications [eg, Jamaican bush tea], arsenic)
- Sepsis and hypoperfusion states
- Infiltrative diseases (eg, amyloidosis, lymphoma, sarcoidosis, tuberculosis)
- Pregnancy
- Cirrhosis
- Extrahepatic cholestasis (biliary obstruction):
- Choledocholithiasis
- Intrinsic and extrinsic tumors (eg, cholangiocarcinoma)
- Primary sclerosing cholangitis
- Acute and chronic pancreatitis
Less Common Causes
- Intrahepatic cholestasis:
- Total parenteral nutrition
- Postoperative cholestasis
- Following organ transplantation
- Hepatic crisis in sickle-cell disease
- Extrahepatic cholestasis (biliary obstruction):
- AIDS cholangiopathy
- Certain parasitic infections (eg, Ascaris lumbricoides, liver flukes)
- Strictures after invasive procedures
- Defect of canalicular organic anion transport:
- Defect of sinusoidal re uptake of conjugated bilirubin:
Causes by Organ System
Causes in Alphabetical Order
- 1,2-Dibromoethane
- 2-acetylamino-fluorene
- 2-Nitropropane
- 3,3-Dichlorobenzidine
- 4-Dimethylaminoazobenzene
- 5-Fluorocytosine
- 8-Hydroxyquinolone
- Aagenaes syndrome
- Absence of septum pellucidum and septo-optic dysplasia
- Accessory pancreas
- Acer rubrum
- Acetaminophen
- Acetates
- Acetonitrile
- Acetylene Tetrabromide
- Achrestic anemia
- Acinic cell carcinoma
- Acral dysostosis -- dyserythropoiesis
- Acrylonitrile
- Acute Cholecystitis
- Acute fatty liver of pregnancy
- Acute hepatitis
- Acute liver failure
- Acute meningitis
- Addison-Gull syndrome
- Aflatoxin
- AIDS
- Alagille syndrome
- Albitocin
- Alcoholic Hepatitis
- Alcoholic liver disease
- Aldolase A deficiency
- Alicyclic Hydrocarbons
- Aliphatic Amines
- Aliphatic Hydrocarbons
- Aliphatic hydrogenated hydrocarbons
- Alkylated steroids
- Allopurinol
- Allyl alcohol
- Alpha 1-Antitrypsin Deficiency
- Alprazolam
- Alveolar Hydatid Disease .
- Amanita phalloides
- Amineptine
- Amiodarone
- Amlodipine
- Amodiaquine
- Amphotericin
- Anabolic C-17
- Angiosarcoma of the liver
- Aromatic amines
- Aromatic halogenated hydrocarbons
- Aromatic Hydrocarbons
- Arsenic
- Arsine
- Arthrogryposis -- renal dysfunction -- cholestasis syndrome
- Ascaris lumbricoides
- Ascending cholangitis
- Aspergillosis
- Autoimmune hemolytic anemia
- Autoimmune Hepatitis
- Aztreonam
- Baber's syndrome
- Babesiosis
- Banti's syndrome
- Benign intrahepatic cholestasis
- Benzene
- Benzyl chloride
- Beryllium
- Bicalutamide
- Bile duct cancer
- Bile duct paucity, non syndromic form
- Bile plug syndrome
- Biliary atresia
- Biliary cirrhosis
- Biliary colic
- Bipyridyl pesticides
- Black nightshade poisoning
- Boron
- Breast cancer
- Breast feeding jaundice
- Breast milk jaundice
- Bromazepam
- Brown Recluse spider bite
- Budd-Chiari syndrome
- Buprenorphine
- Butyrophenones
- Bunamiody
- Byler Disease
- Cadmium
- Carbarsone
- Carbolic Acids and Anhydrides
- Carbon Disulfide
- Carbon Tetrachloride
- Caroli's Disease
- Cefaclor
- Ceftazidime
- Ceftibuten
- Cephalhematoma
- Cephalosporins
- Chediak-Higashi syndrome
- Chloramphenicol
- Chlorate salts
- Chlordane
- Chlorinated benzenes
- Chlorinated naphthalene
- Chlorodiphenyls and derivatives
- Chloroform
- Chloromethane
- Chloroprene
- Chlorpromazine
- Chlorpropamide
- Cholangiocarcinoma
- Cholangitis
- Choledochal cyst, hand malformation
- Choledochal cysts
- Choledocholithiasis
- Cholestasis
- Cholestasis -- pigmentary retinopathy -- cleft palate
- Cholesteryl ester storage disease
- Chromium
- Chronic cholecystitis
- Chronic Hepatitis
- Cidofovir
- Cimetidine
- Cirrhosis of liver
- Clarithromycin
- Clavulanic acid
- Clindamycin
- Co-amoxiclav
- Cobicistat
- Colchicine
- Colorectal cancer
- Comfrey
- Congenital disorders of glycosylation
- Congenital TORCH infections
- Copper
- Cresol
- Crigler-Najjar syndrome
- Cycasin
- Cyclochlorotine
- Cyclopropane
- Cycloserine
- Cytarabine
- Cytomegalovirus
- Dantrolene
- Dapsone
- Daptomycin
- Deal-Barratt-Dillon syndrome
- Deracoxib
- Diazepam
- Dibromochloropropane
- Diethylene Glycol
- Diflunisal
- Dimethyl sulfate
- Dimethylnitrosamine
- Dinitrobenzene
- Dinitrocresol
- Dinitrophenol
- Dinitrotoluene
- Diphenoxylate and Atropine
- Disulfiram
- Docetaxel
- Doxepine
- Dubin-Johnson syndrome
- Duloxetine
- Dydrogesterone
- Eclampsia
- Embryonal rhabdomyosarcoma
- Eosinophilic gastroenteritis
- Erythromycin estolate
- Erythromycin Ethyl succinate
- Esophageal cancer
- Estrogen and Progestin
- Ethanolamines
- Ethionamide
- Ethyl Acetate
- Ethyl alcohol
- Ethyl benzene
- Ethyl Ether
- Ethyl Salicylate
- Ethylene chlorohydrin
- Ethylene Dibromide
- Ethylene dichloride
- Ethylene oxide
- Ethylenediamine
- Evans syndrome
- Exocrine Pancreatic Insufficiency, Dyserythropoietic Anemia, And Calvarial Hyperostosis
- Familial progressive intrahepatic cholestasis
- Familial Selective Vitamin B12 Malabsorption
- Fanconi-ichthyosis-dysmorphism
- Fascioliasis
- Favism
- Fenoprofen
- Flavaspadic acid
- Flucloxacillin
- Flurbiprofen
- Framycetin
- Fructose intolerance
- Fusidic acid
- Galactosemia
- Gallbladder cancer
- Gallstones
- Germander
- Germanium
- Gestational diabetes
- Gilbert's syndrome
- Glucose-6-phosphate dehydrogenase deficiency
- Glutaric aciduria
- Gold
- Goldstein-Hutt syndrome
- Graft-versus-host disease
- Griscelli disease
- Griseofulvin
- Growth hormone deficiency
- Hydroxyzine
- Hafnium
- Halothane
- Hashimoto-Pritzker syndrome
- Heart failure
- HELLP syndrome
- Hemochromatosis
- Hemoglobin C homozygous (CC)
- Hemolytic anemia
- Hemolytic disease of the newborn
- Hemophagocytic lymphohistiocytosis familial
- Hemosuccus pancreaticus
- Hepadnaviruses
- Hepatic amyloidosis with intrahepatic cholestasis
- Hepatic encephalopathy syndrome
- Hepatic trauma
- Hepatic veno-occlusive disease with immunodeficiency
- Hepatoma
- Heptaosplenic T-cell Lymphoma
- Hereditary elliptocytosis
- Hereditary fructose intolerance
- Hereditary spherocytosis
- Hereditary xerocytosis
- Herpes
- Histoplasmosis
- HLH (Hemophagocytic lymphohistiocytosis)
- Hodgkin's Disease
- Horse nettle
- Hycanthone
- Hydrogen bromides
- Hydrogen Cyanide
- Hydroxyzine
- Hyperemesis gravidarum
- Hyperthyroidism
- Hypopituitarism
- Hypothyroidism
- Ibuprofen
- Ibuprofen lysine
- Icterogenin
- Idiopathic liver cirrhosis
- Idoxuridine
- Imerslund-Najman-Grasbeck Syndrome
- Imipramine
- Indinavir
- Indomethacin
- Indospicine
- Infectious mononucleosis
- Infective endocarditis
- Infliximab
- Intrahepatic cholangiocarcinoma
- Intrahepatic cholestasis of pregnancy
- Iron
- Islet Cell adenoma
- Isoniazid
- Isopropyl acetate
- Itraconazole
- Ixabepilone
- Jamaican bush tea
- Kaposiform hemangio-endothelioma
- Kawasaki disease
- Kepone pesticides
- Ketoconazole
- Lábrea fever
- Langerhans Cell Histiocytosis
- Lanthanides
- Lead
- Lissencephalic syndromes
- liver flukes
- Liver cancer
- Loprazolam
- Loratadine
- Lorazepam
- Lormetazepam
- Lucey-Driscoll syndrome
- Lupus
- Lymphoma
- Lymphoproliferative syndrome, EBV-Associated, Autosomal
- Malaria
- Malignant boutonneuse fever
- Manganese deficiency
- Marburg virus
- Meloxicam
- Mepacrine
- Mephenytoin
- Mercaptans
- Mercury
- Mesothelioma
- Methimazole
- Methoxyflurane
- Methyl acetate
- Methyl Bromide
- Methyl Chloride
- Methyldopa
- Methylene chloride
- Methylene Dianiline
- Metolachlor
- Metronidazole
- Minocycline
- Mirizzi's syndrome
- Mirtazapine
- Molybdenum deficiency
- Monoamine oxidase inhibitors
- Monomethylhydrazine
- Mosse syndrome
- Myelofibrosis-osteosclerosis
- N,N-Dimethylformamide
- Nanukayami
- Naphthalene
- Naphthol
- Naproxen
- N-butyl acetate
- Neonatal adrenal hemorrhage
- Neonatal hepatitis
- Neonatal physiological jaundice
- Neonatal sepsis
- Neuroma biliary tract
- Ngaione
- Niacin
- Nickel
- Niemann-Pick disease
- Niobium
- NISCH syndrome
- Nitriles
- Nitrobenzene
- Nitrofurantoin
- Nitromethane
- Nitroparaffins
- Nitrous Oxide
- N-N-Dimethylacetamide
- N-Nitrosodimethylamine
- Non-alcoholic fatty liver disease
- Novobiocin
- N-propyl acetate
- Obliterative portal venopathy
- Ochratoxin
- Omphalitis
- organ transplantation
- Organic acidemia
- Oxaprozin
- Oxycodone
- p-aminosalicylic acid
- Pancreatic adenoma
- Pancreatic cancer
- Pancreatitis
- Pancreatoblastoma
- Papaverine
- Papillary stenosis
- Para-Dichlorobenzene
- Paroxetine
- Pegaspargase
- Peliosis hepatis
- Penicillin
- Pergolide
- Pernicious anemia
- Phenol
- Phenothiazine
- Phenylbutazone
- Phenytoin
- Phosphine
- Phosphorus
- Phthalic Anhydride
- Picric Acid
- Pneumonia
- Polybrominated biphenyls
- Polychlorinated biphenyls
- Polygonum multiflorum
- Porphyria
- Portal hypertension
- Portosystemic shunts
- Postoperative jaundice
- Premature birth
- Primary biliary cirrhosis
- Primary sclerosing cholangitis
- Probenecid
- Progressive familial intrahepatic cholestasis (PFIC)
- Propylene dichloride
- Pseudo-torch syndrome
- Psoralea Corylifolia
- Pyridine
- Pyrogallol
- Pyrrolidizine
- Pyruvate kinase deficiency
- Q fever
- Quinidine-induced Immune Hemolytic Anemia
- Quinolone
- Ragwort
- Ranitidine
- Relapsing fever
- Reye's syndrome
- Reynolds syndrome
- Rh deficiency syndrome
- Rh disease
- Rifampicin
- Rotor syndrome
- Rubratoxin
- Safrole
- Salicylate
- Sarcoidosis
- Sarcoma botryoides of common bile duct
- Secondary Biliary Cirrhosis
- Selenium deficiency
- Sepsis
- Sibutramine
- Sickle-cell disease
- Solanine
- Solder
- Sorafenib
- Sotos syndrome
- Spectinomycin
- Sterigmatocystin
- Stibine
- Stribild (elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate)
- Strictures after invasive procedures
- Sulindac
- Sulphonamides
- Summerskill-Walshe-Tygstrup syndrome
- Syphilis
- Tamoxifen
- Tegaserod
- Telithromycin
- Tellurium
- Tetrachloroethane
- Tetrachloroethylene
- Tetracycline
- Tetramethylthiuram disulfide
- Thalassemia
- Thallium
- Thiabendazole
- Thioxanthene
- Thorium dioxide
- Thorotrast
- Thrombotic thrombocytopenic purpura
- Thyroid agenesis
- Toluene
- Total parenteral nutrition
- Transfusion Reaction
- Trazodone
- Trichloroethylene
- Trinitrotoluene
- Trovafloxacin mesylate
- Tuberculosis
- Tyrosinemia
- Uranium
- Valproic acid
- Vicia faba
- Vidarabine
- Vinyl Chloride
- Viral Hepatitis A
- Viral Hepatitis B
- Viral Hepatitis C
- Viral Hepatitis D
- Viral Hepatitis E
- Viral hepatitis X (non-A,-B,-C,-D,-E)
- Vitamin A overdose
- Vitamin B12 Deficiency
- Vitamin C
- Weil's disease
- White Phosphorus
- Wilson's Disease
- Wolman disease
- Xanthogranulomatous cholecystitis
- Xanthomatous biliary cirrhosis
- X-linked alpha thalassemia mental retardation syndrome (ATR-X)
- X-linked lymphoproliferative syndrome
- X-linked sideroblastic anaemia
- Xylene
- Yellow fever
- Zellweger syndrome
- Zieve's syndrome
- Zoxazolamine
References
- ↑ Fargo MV, Grogan SP, Saguil A (2017). "Evaluation of Jaundice in Adults". Am Fam Physician. 95 (3): 164–168. PMID 28145671.
- ↑ VanWagner LB, Green RM (2015). "Evaluating elevated bilirubin levels in asymptomatic adults". JAMA. 313 (5): 516–7. doi:10.1001/jama.2014.12835. PMC 4424929. PMID 25647209.
- ↑ 3.0 3.1 Gadia CLB, Manirakiza A, Tekpa G, Konamna X, Vickos U, Nakoune E (2017). "Identification of pathogens for differential diagnosis of fever with jaundice in the Central African Republic: a retrospective assessment, 2008-2010". BMC Infect Dis. 17 (1): 735. doi:10.1186/s12879-017-2840-8. PMC 5707826. PMID 29187150.
- ↑ Arora V, Kulkarni RK, Cherian S, Pillai R, Shivali M (2009). "Hyperbilirubinemia in normal healthy donors". Asian J Transfus Sci. 3 (2): 70–2. doi:10.4103/0973-6247.53875. PMC 2920475. PMID 20808649.
- ↑ ARIAS IM (1962). "Chronic unconjugated hyperbilirubinemia without overt signs of hemolysis in adolescents and adults". J Clin Invest. 41: 2233–45. doi:10.1172/JCI104682. PMC 291158. PMID 14013759.
- ↑ Drenth JP, Peters WH, Jansen JB (2002). "[From gene to disease; unconjugated hyperbilirubinemia: Gilbert's syndrome and Crigler-Najjar types I and II]". Ned Tijdschr Geneeskd. 146 (32): 1488–90. PMID 12198827.
- ↑ Kasper, Dennis (2015). Harrison's principles of internal medicine. New York: McGraw Hill Education. ISBN 978-0-07-180215-4.
- ↑ 8.0 8.1 Lucey, Michael R.; Mathurin, Philippe; Morgan, Timothy R. (2009). "Alcoholic Hepatitis". New England Journal of Medicine. 360 (26): 2758–2769. doi:10.1056/NEJMra0805786. ISSN 0028-4793.