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HERE'S WHAT YOU IGNORE ABOUT THE ICTERY

  • On 22/09/2020
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HERE'S WHAT YOU IGNORE ABOUT THE ICTERY

Jaundice, more commonly known as jaundice, is a manifestation present in a number of benign or more serious pathologies. It is characterized by a yellow coloration of the skin, mucous membranes and the whites of the eyes. We must identify the underlying cause for appropriate management. is characterized by yellowing of the skin, mucous membranes and the whites of the eyes. We must identify the underlying cause for appropriate management.

Definition: what is jaundice?
"Jaundice is a yellow coloration of the mucous membranes, skin and conjunctiva (white of the eye)". Commonly called "jaundice," jaundice is caused by an abnormal increase in the level of bilirubin, a substance secreted by the liver.

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Newborn jaundice, neonatal or cholestatic jaundice
"Newborns can also get jaundice in the first few weeks of life. It's absolutely trivial, harmless, and it heals on its own, possibly by putting them under UV rays." In an absolutely exceptional way, jaundice can be linked to a genetic disease ", he emphasizes. Cholestatic jaundice is a form of jaundice in newborns: the liver is not mature enough to eliminate bilirubin. hence its passage in the blood and an abnormally high level.

Symptoms
In jaundice, a yellow coloration can affect the skin, the mucous membranes (the walls lining the inner part of some organs) of the mouth or genitals and the conjunctiva, which is the white of the eye (conjunctival jaundice). This last localization is often the first to appear, even the only one clearly visible, especially in dark-skinned individuals. Apart from this symptom, other clinical signs are frequently associated with jaundice and will help guide the suspected diagnosis. Thus, among the most frequent, we find:
- fatigue and itching
-a bad taste in the mouth which leads to food disgust
-fever may be present;
- abdominal pain is possible;

Causes
In adults, several causes can be at the origin of jaundice. "Jaundice is due to two main causes: liver disease, or a blockage of the flow of bile", details the hepatologist. Liver diseases include hepatitis (sometimes caused by taking medication) or cirrhosis. The presence of gallstones, tumors of the liver or pancreas can also cause jaundice. We are talking here about conjugated bilirubin jaundice.
"Jaundice can come from Gilbert's disease, which is not actually a disease but an enzymatic anomaly. It corresponds to the absence of an enzyme: this affects 10% of the population, can cause very transient and unimportant jaundice episodes ". This is called free bilirubin jaundice.


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Diagnostic
"During the diagnosis, the doctor will first take a blood test to measure the bilirubin level, explains Professor Lédinghen. The level is normally between 0 and 17. When it reaches 30 or 40, this are in the first place the eyes which yellow. "The examination which follows, if the jaundice is proven, is an abdominal ultrasound", adds the hepatologist. It is this one which will make it possible to determine the main cause of the jaundice: blockage of the flow of bile, or liver disease.


Treatment: how to treat jaundice?

Jaundice in the newborn can be treated with light therapy. The baby, naked and his eyes protected by glasses, is placed in a special incubator, under compact fluorescent tubes emitting blue light. In other cases, the treatment for jaundice involves treating its cause. "If there is an obstacle to the flow of bile, it will have to be removed, and if it is a disease of the liver, it will be necessary to focus on identifying it and treating it. did not treat the cause, the jaundice will not be able to disappear, "concludes the hepatologist.

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