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Unconscious, Yellow Skin And Sclerae, Gold-coloured Urine. Had Jaundice And Liver Transplant. What Hepatitis Is It?

Posted on Fri, 17 May 2013

Question: I am trying to decide what type of hepatitis my patient has - he is in ICU unconscious, has bright yellow skin, gold-colored urine, and his sclerae are bright yellow. Eleven years ago he traveled to West Africa and came home with a jaundice. He had a liver transplant 3 years ago but the donor was hepatitis free. He has a history of injectable drug abuse 19 years ago and exposure to someone years ago that had "liver sickness XXXXXXX He was well until about a year ago. Thank you

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.

The information provided is inadequate.
I would like to have more information.

1. I would like to have the complete report of liver function test.

2. If tests for viral markers, autoimmune profile and tests for metabolic issues have been done, I would like to have those reports also?

3. Any imaging done ?

4. 11 years ago he had jaundice. What was the cause and how long did it last?

5. Why was liver transplant done 3 years ago? How was his liver function at that time. Can I have the LFT report?

6. How long he has been having the present signs/symptoms - jaundice, unconsciousness/

Kindly get back to me with the answers.
Regards,
Dr.Ratnakar Kini

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar