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9.3.11

Jaundice seen in fever and skin diseases in children?

Jaundice is a symptom of the disease, is caused due to an increased concentration of bilirubin in the blood. Many diseases can cause increased concentration of bilirubin in the blood and produce jaundice. Jaundice in General is divided into four categories: hemolytic jaundice of jaundice, liver cell, jaundice and congenital obstructive jaundice. Fever and jaundice skin disease has not been seen in the first three classes, three types of jaundice has its characteristic.

Hemolytic jaundice: jaundice generally not extensive, free bilirubin in the blood (indirect bilirubin) increased. Bile red mass qualitative test is indirect positive, directly bile red mass (is combination bile red mass) and total bile red mass of than is less than 0.2, urine liquid bile red mass positive, urine bile original increased, stool urine bile original content increased, and has anemia, and hematopoietic bone marrow hyperplasia, and spleen enlargement, and around blood network weaving cell increased and appears has nuclear red blood cells, hemolytic sexual anemia performance.

Hepatocellular jaundice: combination of unconjugated bilirubin in the blood and bilirubin are increasing. Qualitative test for bilirubin is double phase or direct positive, total bilirubin and direct bilirubin more than 0.4 per cent of, positive urine bilirubin, bile original increased urine, fecal bile in urine of the original normal or reduced, there is often an abnormal swelling of the liver and liver function tests.

Blocking sexual jaundice: jaundice can is deep, blood in the combination bile red mass increased, bile red mass qualitative test is directly positive, directly bile red mass and total bile red mass of than is greater than 0.4 (can up 0.6); urine liquid bile red mass positive, urine bile original lack or reduced, stool urine bile original content reduced or lack, serum total cholesterol, and alkaline phosphate enzyme increased, and can has skin itching and manure color light or is clay color.

Liver cell sexual jaundice and has fever of disease main in acute toxicity hepatitis, and hook end spirochetes disease, and regression hot, and liver abscess, and primary liver cancer,; blocking sexual jaundice and has fever of disease more in cholecystitis, and bile stone syndrome, and suppurative sexual bile cholangitis, and acute pancreatic inflammatory,; hemolytic sexual jaundice and has fever who in various congenital and get sexual hemolytic sexual anemia acute attack, which main has since body immune sexual hemolytic sexual anemia, and malaria (especially malignant malaria), and sepsis, and black urine hot, and blood type not caused by hemolytic reaction, and Venom, and drug reaction, and G-6PD lack syndrome (broad bean disease),. According to history, signs, about tests check further identification confirmed.

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