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Case 2 

Case 2
Chapter:
Case 2
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.02
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date: 22 October 2019

A 24-year-old female hairdresser presented with a 5-day history of jaundice, right upper quadrant discomfort, and general malaise. Her stool was of normal colour and not pale, nor did she have dark urine. She admitted to recent alcohol excess while on holiday in Ibiza, from where she had returned 10 days before. Her usual alcohol intake was 24 units/week, with binges during social events. She had no past medical history and used no prescription drugs, over-the-counter medications or NSAIDs, no nutritional supplements or herbal remedies, and no illicit drugs. She had not recently had a course of antibiotics. There was no history of previous blood transfusion, contact with hepatitis, or previous jaundice, and she had no tattoos. She had last had unprotected sex 8 months previously. There was no significant family history.

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