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SCHENKER S, BALINT J, SCHIFF L. Differential diagnosis of jaundice: report of a prospective study of 61 proved cases. ACTA ACUST UNITED AC 1998; 7:449-63. [PMID: 13991584 DOI: 10.1007/bf02232364] [Citation(s) in RCA: 69] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Miyabara Y, Tabata M, Suzuki J, Suzuki S. Separation and sensitive determination of i-urobilin and 1-stercobilin by high-performance liquid chromatography with fluorimetric detection. JOURNAL OF CHROMATOGRAPHY 1992; 574:261-5. [PMID: 1618958 DOI: 10.1016/0378-4347(92)80038-r] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
i-Urobilin and 1-stercobilin were separated by high-performance liquid chromatography on a reversed-phase octadecylsilane-bonded column and detected fluorimetrically through formation of phosphor with zinc ions in the eluent. The separation and the intensity of the fluorescence response were affected by concentrations of zinc acetate and sodium borate buffer, pH and methanol content in the eluent. The optimal eluent used consisted of 0.1% zinc acetate in 75 mM boric acid buffer (pH 6.0)-methanol (25:75). The detection limit was 0.2 microgram/l for both i-urobilin and 1-stercobilin (signal-to-noise ratio 2), which makes the method 250-2500 times more sensitive than conventional methods.
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Affiliation(s)
- Y Miyabara
- Faculty of Pharmaceutical Sciences, Science University of Tokyo, Japan
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Kotal P, Fevery J. Quantitation of urobilinogen in feces, urine, bile and serum by direct spectrophotometry of zinc complex. Clin Chim Acta 1991; 202:1-9. [PMID: 1807863 DOI: 10.1016/0009-8981(91)90250-g] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Previous methods to quantitate urobilinogen lack precision due to either incomplete reduction of urobilin or to losses of pigment before the use of Ehrlich's aldehyde reaction or due to pigment precipitation, as occurs in Schlesinger's fluorescent assay. The present procedure modifies the latter assay to obviate described problems as it is based on direct spectrophotometry (or spectrofluorometry) of a zinc complex of urobilin in dimethylsulfoxide. The sample is extracted with dimethylsulfoxide to increase recovery of urobilinogen from samples of various origin (feces, urine, bile, serum etc.) and to prevent the precipitation of proteins. After oxidation of urobilinogen with iodine, the concentration of the resulting urobilin is directly determined from the absorption (or fluorescent) spectrum. High sensitivity and high specificity for the procedure result from the high value of absorption coefficient and by the characteristic absorption spectrum of zinc complex of urobilin, respectively. Within-day and day-to-day coefficients of variation of stool and bile samples range from 1.6 to 9.2%. The smallest concentration of urobilinogen measurable by spectrophotometry is approximately 0.5 mumol/l, by fluorometry it is 0.25 mumol/l. The recovery varies from 82.2 to 93.8% depending on re-extraction of the sample. The method is linear in the range of 1 to 35 mumol/l and of 0.5 to 17.5 mumol/l for spectrophotometric and fluorescent determinations, respectively. The results obtained with the present method correlated well with Ehrlich's determination (r2 = 0.912), but are approximately two-fold higher. Storage of the samples at -20 degrees C or extraction with dimethylsulfoxide prior to storage are good ways for sample preservation. Twenty stool samples from healthy adults were determined.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- P Kotal
- 1st Medical Department, Charles University, Prague, Czechoslovakia
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Gorgels JP, Van Manen L, Peters HJ. An assessment of the suitability of p-methoxybenzene diazoniumfluoborate (p-MDFB) for the determination of urinary urobilinogens. Clin Chim Acta 1976; 73:179-81. [PMID: 1000827 DOI: 10.1016/0009-8981(76)90321-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Kapitulnik J, Kaufmann NA, Goitein K, Cividalli G, Blondheim SH. A pigment found in Crigler--Najjar syndrome and its similarity to an ultrafiltrable photoderivative of bilirubin. Clin Chim Acta 1974; 57:231-7. [PMID: 4434643 DOI: 10.1016/0009-8981(74)90402-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Free AH, Free HM. Urinalysis, critical discipline of clinical science. CRC CRITICAL REVIEWS IN CLINICAL LABORATORY SCIENCES 1972; 3:481-531. [PMID: 4618181 DOI: 10.3109/10408367209151553] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Arias IM, Gartner LM, Cohen M, Ezzer JB, Levi AJ. Chronic nonhemolytic unconjugated hyperbilirubinemia with glucuronyl transferase deficiency. Clinical, biochemical, pharmacologic and genetic evidence for heterogeneity. Am J Med 1969; 47:395-409. [PMID: 4897277 DOI: 10.1016/0002-9343(69)90224-1] [Citation(s) in RCA: 252] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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SIGLER AT, FORMAN EN, ZINKHAM WH, NEILL CA. SEVERE INTRAVASCULAR HEMOLYSIS FOLLOWING SURGICAL REPAIR OF ENDOCARDIAL CUSHION DEFECTS. Am J Med 1963; 35:467-80. [PMID: 14072372 DOI: 10.1016/0002-9343(63)90146-3] [Citation(s) in RCA: 67] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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ARIAS IM. Studies of chronic familial non-hemolytic jaundice with conjugated bilirubin in the serum with and without an unidentified pigment in the liver cells. Am J Med 1961; 31:510-8. [PMID: 14036852 DOI: 10.1016/0002-9343(61)90135-8] [Citation(s) in RCA: 52] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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SMALL M, LONGARINI A, ZAMCHECK N. Disturbances of digestive physiology following acute drinking episodes in "skid-row" alcoholics. Am J Med 1959; 27:575-85. [PMID: 13831768 DOI: 10.1016/0002-9343(59)90043-9] [Citation(s) in RCA: 51] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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SCHIFF L, BILLING BH, OIKAWA Y. Familial nonhemolytic jaundice with conjugated bilirubin in the serum; a case study. N Engl J Med 1959; 260:1315-8. [PMID: 13666961 DOI: 10.1056/nejm195906252602604] [Citation(s) in RCA: 57] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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DACIE JV, SMITH MD, WHITE JC, MOLLIN DL. Refractory normoblastic anaemia: a clinical and haematological study of seven cases. Br J Haematol 1959; 5:56-82. [PMID: 13628929 DOI: 10.1111/j.1365-2141.1959.tb04013.x] [Citation(s) in RCA: 123] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Urobilinogen in Urine and Feces. ACTA ACUST UNITED AC 1958. [DOI: 10.1016/b978-1-4831-9683-1.50025-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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CROSBY WH. Treatment of haemochromatosis by energetic phlebotomy; one patient's response to the letting of 55 litres of blood in 11 months. Br J Haematol 1958; 4:82-8. [PMID: 13499836 DOI: 10.1111/j.1365-2141.1958.tb03836.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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MATEER JG, BALTZ JI, PRIEST RJ, FISCHBEIN JW. The diagnosis of biliary tract disease; the present status of liver function tests, liver biopsy and duodeno-biliary drainage. Med Clin North Am 1956; 40:437-49. [PMID: 13296561 DOI: 10.1016/s0025-7125(16)34591-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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SCHWAB RS, TIMBERLAKE WH, ABBOTT JA. Control of side effects of anticonvulsant drugs. THE MEDICAL ANNALS OF THE DISTRICT OF COLUMBIA 1954; 23:1339-50. [PMID: 13193205 DOI: 10.1016/s0025-7125(16)34804-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Watson C, Lowry P, Sborov V, Hollinshead W, Kohan S, Matte HO. A SIMPLE METHOD OF ISOLATION OF CRYSTALLINE STERCOBILIN OR UROBILIN FROM FECES. J Biol Chem 1953. [DOI: 10.1016/s0021-9258(18)71416-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Abstract
A study was conducted of the serial urinary urobilinogen excretion in patients with acute myocardial infarction, using Watson's semiquantitative method. Increased excretion was observed in some 90 per cent of the subjects with infarcts confirmed by the electrocardiogram and in more than half of the subjects where the electrocardiogram was not conclusive. The degree and duration of increased urinary urobilinogen had no apparent bearing upon prognosis. It is postulated that the altered urobilinogen excretion is induced by hepatic effects of the stress reaction incident to acute myocardial infarction.
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Fairlie CW, Barss TP, French AB, Jones CM, Beecher HK. Metabolic effects of anesthesia in man. IV. A comparison of the effects of certain anesthetic agents on the normal liver. N Engl J Med 1951; 244:615-22. [PMID: 14815734 DOI: 10.1056/nejm195104262441701] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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SWIFT WE, MILLER WN, STREITFELD FH, KNOWLTON M. An evaluation of two screening tests for the detection of early and sub-icteric viral hepatitis. Am J Med 1950; 8:581-3. [PMID: 15413622 DOI: 10.1016/0002-9343(50)90303-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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POPPER H, STEIGMANN F, Meyer KA, Kozoll DD, Franklin M. Correlation of liver function and liver structure; clinical applications. Am J Med 1949; 6:278-91. [PMID: 18112360 DOI: 10.1016/0002-9343(49)90165-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Problems in the diagnosis and treatment of the non-calculous gall bladder. ACTA ACUST UNITED AC 1948; 15:325-31. [DOI: 10.1007/bf03001834] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Allen Wilkinson S. The Differential Diagnosis of Jaundice. Surg Clin North Am 1948; 28:575-85. [DOI: 10.1016/s0039-6109(16)32429-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Meyer KA, Steigmann F, Popper H. Laboratory Diagnosis and its Pitfalls in the Management of “Surgical Jaundice”. Surg Clin North Am 1947; 27:37-50. [DOI: 10.1016/s0039-6109(16)32033-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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