Articles
| Open Access |
DOI: The late diagnosis of hemochromatosis in the patient with chronic hepatitis B and kidney damage Clinical Case Report
O.V.Skosireva , Department Of Faculty Internal Diseases, Tashkent State Dental Institute, Tashkent, Republic Of Uzbekistan M.O.Sobirov , Department Of Faculty Internal Diseases, Tashkent State Dental Institute, Tashkent, Republic Of Uzbekistan L.T.Daminova , Department Of Faculty Internal Diseases, Tashkent State Dental Institute, Tashkent, Republic Of Uzbekistan S.U.Muminova , Department Of Endocrinology, Tashkent Pediatric Medical Institute, Tashkent, Republic Of UzbekistanAbstract
A late diagnosis of secondary hemochromatosis was made to a 38-year-old man with chronic hepatitis B, who after poisoning with alcohol surrogate (which was a year ago) had episodes of macrohematuria with signs of acute kidney damage, which required treatment in the ICU and hemodialysis sessions, after which kidney function was restored. In August 2020, the patient had a contact with a COVID-19 patient, but upon admission to the hospital, the results of tests for COVID-19 were negative. During the examination in our department, after the exclusion of the urological disease, the diagnosis of interstitial nephritis of toxic etiology, hemolytic anemia, chronic viral hepatitis B was made. Then in-depth study of iron metabolism, bone marrow, and MRI of parenchymal organs revealed secondary hemochromatosis.
Keywords
COVID-19, ICU, Physical examination, diagnosis
References
Makker J., et al. Dysmetabolic Hyperferritinemia: All Iron Overload Is Not Hemochromatosis. Case Rep Gastroenterol 2015;9:7-142.
Hemochromatosis. https://www.nhs.uk/conditions/haemochromatosis/symptoms/
Hemochromatosis. J. L. Porter; P.Rawla. https://www.ncbi.nlm.nih.gov/books/NBK430862/
Calazans LM, de Souza Santos RF, de Souza Gonçalves M, et al. Renal hemosiderosis complicating sickle cell anemia. Kidney Int, 2012;81:709.
Pardo-Mindán FJ, Diez J, Esparaza N, et al. Renal siderosis in patients with heart-valve prostheses: clinical implications. Nephrol Dial Transplant 1990;5:847–50.
Y.L.Manakova,N.P. Domnikova.Tomagnetic resonans tomography in diagnosis of kidney hemosiderosis in patients with paroxysmal nocturnal hemoglobinuria. Bulletin of Russian Academy of Medical Sciences ,M< 34, No. 6, 106-109 p
Article Statistics
Copyright License
Copyright (c) 2021 The American Journal of Medical Sciences and Pharmaceutical Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.