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Case Reports
. 2015 Jul 9;2(4):250-1.
doi: 10.14309/crj.2015.75. eCollection 2015 Jul.

Hemolysis in Acute Alcoholic Hepatitis: Zieve's Syndrome

Sandhya Shukla  1 , Michael Sitrin  2
Affiliations
Case Reports

Hemolysis in Acute Alcoholic Hepatitis: Zieve's Syndrome

Sandhya Shukla et al. ACG Case Rep J. .

Abstract

A 45-year-old man presented with acute alcoholic hepatitis, jaundice, and anemia on admission. There was no history of bleeding or any evidence of gastrointestinal blood loss. Lab studies revealed hemolysis as the cause of anemia. The patient was diagnosed with Zieve's syndrome and managed with supportive measures. He recovered well and was discharged to a detoxification unit in a stable condition. Zieve's syndrome has been described in literature, mostly in non-English language case studies, but is largely under-recognized and under-reported. Diagnosis should be made quickly to avoid unnecessary invasive diagnostic interventions.

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Figures

Figure 1
Figure 1
Peripheral smear from patient showing schistocytes and spur cells.
See this image and copyright information in PMC

References

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