ビリルビン尿
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2019/04/03 00:21:43」(JST)
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In medicine, bilirubinuria is an abnormality in which conjugated bilirubin is detected in the urine.[1]
The term "biliuria" is very similar, but more general. It refers to the presence of any bile pigment in the urine.
Conjugated bilirubin is detected in urine at bilirubinemia of approximately 30-34 mmol/l or 20 mg/dL. In this concentration of conjugated bilirubin in the blood appears yellowness of the mucous membranes and sclera.[2]
Causes
The most common cause of bilirubinuria is hepatocellular disease. More rare causes include inherited disorders, such as Dubin-Johnson syndrome and Rotor syndrome.[3]
Although Gilbert's syndrome and Crigler-Najjar syndrome are characterized by increased bilirubin in the serum, the bilirubin in these inherited disorders is not conjugated and thus not excreted in the urine.
The increase of stercobilin (urobilin) in the feces and urine is caused by the enhanced intracellular hemolysis of erythrocytes. Formed an unconjugated bilirubin entering the intestine, gives a large number of stercobilinogen (urobilinogen). Last absorbed into the blood and passes into the urine.[4]
Diagnosis
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References
- ^ bilirubinuria at eMedicine Dictionary
- ^ Bilirubinuria, urobilinogenuria URL: www.minclinic.ru/mps/mps_eng/bilirubinuria_eng.html
- ^ Patient.UK. URL: http://www.patient.info/showdoc/40001082/. Accessed on: May 8, 2008.
- ^ Bilirubinuria, urobilinogenuria URL: www.minclinic.ru/mps/mps_eng/bilirubinuria_eng.html
External links
Classification | D - ICD-10: R82.2
- ICD-9-CM: 791.4
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External resources | - Patient UK:
Bilirubinuria
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Components and results of urine tests (CPT 81000–81099; R80–R82, 791) |
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Components |
- Albumin
- Myoglobin
- hCG
- Leukocyte esterase
- Urine pregnancy test
- Ketone bodies
- Glucose
- Urobilinogen
- Bilirubin
- Creatinine
- RBC
- WBC
- Urinary casts
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Chemical properties |
- Urine specific gravity
- Urine osmolality
- Urine pH
- Urine anion gap
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Abnormal findings | Red blood cells |
- Hematuria (Microscopic hematuria)
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White blood cells | |
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Proteinuria |
- Albuminuria/Microalbuminuria
- Myoglobinuria
- Hemoglobinuria
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Small molecules |
- Glycosuria
- Ketonuria
- Bilirubinuria
- Hyperuricosuria/Hypouricosuria
- Aminoaciduria
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Pathogens | |
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Other |
- Chyluria
- Crystalluria
- osmolality (Isosthenuria, Hypersthenuria)
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UpToDate Contents
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English Journal
- Vikse J, Sæverås MZ, Staal EM, Gøransson LG.
- Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke. 2019 Mar;139(6).
- Purple urine bag syndrome (PUBS) can occur in cases of bacteriuria with species expressing enzymes capable of converting tryptophan metabolites to red and blue pigments which are excreted in urine, leaving a characteristic purple colour. Risk factors include urinary catheterisation, constipation and
- PMID 30917642
- Clinicopathologic findings of naturally occurring Rabbit Hemorrhagic Disease Virus 2 infection in pet rabbits.
- Bonvehí C, Ardiaca M, Montesinos A, Juan-Sallés C, Gómez A, Teso B, Barbero S, Ferrera SE.
- Veterinary clinical pathology. 2019 Mar;48(1)89-95.
- Two pet rabbits were presented with an acute decrease in appetite and activity. Rabbit 1 showed severe hypothermia, bradycardia, arrhythmias, a heart murmur, dyspnea, occlusion of the nares with secretions, icterus, dehydration, and gaseous gastrointestinal dilation. The urine was dark yellow. Rabbi
- PMID 30861586
- Systemic alterations induced by phospholipase A , BmooTX-I, isolated from Bothrops moojeni snake venom.
- Costa KCT, de Sousa BB, Dias EHV, Pereira DFDC, Matias MS, Oliveira WJ, Mundim AV, Mamede CCN, Izidoro LFM, Costa JO, de Oliveira F.
- International journal of experimental pathology. 2018 10;99(5)226-235.
- Ophidic accidents are among the problems of public health in Brazil. The components from bothropic venom are responsible for many systemic clinical complications resulting from envenomation. The present work aimed to analyse the systemic changes induced in mice after intraperitoneal administration o
- PMID 30456925
Japanese Journal
- Preliminary Study on Spontaneous Hepatitis in Long-Evans Cinnamon Rats: A Blood Exchange May Improve the Fetal Hepatitis
- Spectrophotometric Determination of Urine Bilirubin by p-Dimethylaminobenzaldehyde
- Analytical sciences : the international journal of the Japan Society for Analytical Chemistry 14(3), 609-612, 1998-06-10
- NAID 10002416084
- 暗褐色尿を主訴に来院した不安定ヘモグロビン症(Hb Koeln)の1例
Related Pictures
★リンクテーブル★
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- 英
- bilirubinuria
- 関
- ビリルビン
- 非抱合型ビリルビン → 糸球体で濾過されない
- 抱合型ビリルビン → 糸球体で濾過される → ビリルビン尿
- 閉塞性黄疸などにより抱合型ビリルビンの胆汁中への排泄が障害されると血中の抱合型ビリルビン濃度が上昇し著明なビリルビン尿が認められるようになる、はず。