8 terms

Zieve's Syndrome

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What is Zieve's Syndrome?
Zieve's syndrome is a form of acute hemolytic anemia that manifests as a triad of jaundice, hyperlipidemia, and alcoholic steatohepatitis.
Who described Zieve's Syndrome?
The syndrome was first described in 1957 by Dr. Leslie Zieve.
In Zieve's syndrome ,What is the distinct etiologies of anemia in alcoholics ?
Zieve's syndrome is distinct in that it is an acute hemolytic anemia.
Information taken from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508957/pdf/crj-02-250.pdf
What is the exact definition of Zieve's syndrome?
Zieve's syndrome is an acute metabolic condition that can occur during withdrawal from prolonged alcohol abuse. It is defined by hemolytic anemia (with spur cells and acanthocytes/schistocytes), hyperlipoproteinemia (excessive blood lipoprotein), jaundice (elevation of unconjugated bilirubin), and abdominal pain. The underlying cause is liver delipidization. This is distinct from alcoholic hepatitis which, however, may present simultaneously or develop later.
Dx of Zieve's syndrome?
Diagnosis of Zieve's syndrome should be considered in alcoholic (especially after an episode of binge drinking) with an elevation of unconjugated bilirubin and without obvious signs of gastrointestinal bleeding.
What is the pathogenesis of Zieve Syndrome?
The proposed mechanism of the characteristic haemolytic anaemia in Zieve's syndrome is due to alteration of the red cell metabolism, namely pyruvate kinase instability leaving them susceptible to circulating hemolysin such as lysolecithin. Changes in membrane lipid compositions such as increased cholesterol and polyunsaturated fatty acid (PUFA) have been reported during the hemolytic phase
What is the Definitive treatment for Zieve's syndrome ?
Definitive treatment for Zieve's syndrome is alcohol cessation.