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Re: Another case from MalcolmFrom: Malcolm Griffiths (malcolm@mgriff22.demon.co.uk)Wed Jul 2 15:55:40 1997
In message <1.5.4.32.19970702154849.006da668@mail.obgyn.net>, Arthurfree@aol.com writes >In a message dated 97-06-30 18:19:17 EDT, Malcolm writes: >> >? 7) Liver function tests show raised bilirubin ( >20 ) and raised >> transaminases. All other routine labs normal. >> > >This type of rash is not uncommon at onset of hepatitis B, or even hepatitis >due to mono. If bili is predominantly indirect (unconjugated) which I would >expect without other GI symptoms to suggest obstruction, fulminant hepatitis >is a major concern. Integrity of clotting cascade is suspect as well. > >-- Now we're getting near. However other tests of liver function ( clotting etc ) are fine. Hep BsAg was negative though ! Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths)
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