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Chronic intrahepatic cholestasis in sickle cell disease requiring exchange transfusion
A O'Callaghan1, S G O'Brien, M Ninkovic
1Department of Haematology, Royal Postgraduate Medical School, London.
Abstract:
A 15 year old boy with sickle cell disease developed intrahepatic cholestasis. A course of exchange transfusion successfully corrected the extreme hyperbilirubinaemia over one year. Upon stopping the exchange transfusion programme the hyperbilirubinaemia relapsed but transfusion was effective when reinstituted.
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