Gilbert’s syndrome (GS) is a benign condition that presents with recurrent jaundice due to isolated hyperbilirubinemia which predominates by its unconjugated component. It is a diagnosis of exclusion and often missed by attending physician. The uncertainty of diagnosis may cause anxiety among patients especially in pregnant women fearing the condition impacting the outcome of their pregnancies. We present a case of a primigravida woman with recurrent jaundice for the last ten years whohad not been givena definitive diagnosis of her illness despite on regular follow up in tertiary centre. She was anxious about her undiagnosed condition and the possibility of it affecting her pregnancy. Gilbert’s syndrome was diagnosed after evaluating information from the tertiary centre and she was assured regarding the prognosis of her pregnancy. She went into labour at term without complication and her postpartum period was uneventful. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.333-335
Objectives Undiagnosed glycaemic disorders remain a major health concern as in such cases the opportunity for early interventions that can potentially prevent complications is missed. Erectile dysfunction (ED) has been suggested as a predictor for glycaemic disorders in men. However, data on men with ED having undiagnosed glycaemic disorders is limited, especially in the Malaysian context. This study aimed to identify prevalence and associated factors of undiagnosed glycaemic disorders in men with ED. Methods We applied a cross-sectional purposive sampling technique on a group of 114 men with ED without underlying glycaemic disorders. They underwent a 2-h oral glucose tolerance test and the cases were then classified into two groups: normal and undiagnosed glycaemic disorders groups. The glycaemic disorders group consisted of patients with diabetes mellitus (DM), impaired glucose tolerance (IGT), and impaired fasting glucose (IFG). The patients were interviewed, and their medical records were reviewed for their sociodemographic and clinical profiles. Results Prevalence of undiagnosed glycaemic disorders in men with ED was 41.2%. Higher age (adjusted OR = 1.10, 95% CI: 1.03, 1.17, p = 0.002) and BMI (adjusted OR = 1.16, 95% CI: 1.05, 1.29, p = 0.003) were found to be significantly associated with undiagnosed glycaemic disorders. Conclusion This study found that men with ED had a high prevalence of undiagnosed glycaemic disorders. ED was associated with advancing age and higher BMI. Further research to validate the findings of this study is needed to increase the prevalence of DM screening among men with ED.
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