History and exam

Key diagnostic factors

common

jaundice

The patient will have chronic jaundice.

dark-coloured urine

Bilirubinuria is typically present.[22]

Other diagnostic factors

uncommon

fatigue

Some patients may describe mild symptoms such as fatigue.

abdominal pain

Some patients may describe mild symptoms such as vague abdominal pain.

Risk factors

weak

glucose-6-phosphate dehydrogenase deficiency

One case series reported RS coexistent with glucose-6-phosphate dehydrogenase (G6PD) deficiency, suggesting a possible interaction between co-inherited genes.[15]

beta-thalassaemia

One case series reported RS coexistent with heterozygous beta-thalassaemia, suggesting a possible interaction between co-inherited genes.[15]

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