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[The significance of LP-X cholesterol in the differential diagnosis of cholestasis (author's transl)].

Abstract
The aim of this study was to investigate whether quantification of Lipoprotein X (LP-X) through its cholesterol moiety is advantageous in the differential diagnosis of obstructive jaundice. In the case of mechanic cholestasis, LP-X cholesterol never exceeds 22% of the total serum cholesterol. Lipoprotein-X cholesterol exceeded 70 mg/dl in the plasma of 85% of all cases of acute hepatitis. The combination of lipoprotein with the activities of alkaline phosphatase and GPT allows the recognition of almost 80% of cases acute hepatitis and thereby excludes all other causes of obstructive jaundice. In addition, 84% of all patients investigated can be correctly classified using a combination of LP-X with classical parameters for cholestasis. The concentration of LP-X cholesterol alone apparently is as powerful as the usually used clinical chemical parameters. A combination of lipoprotein and the classical parameters allows a better differentiation of cholestatic liver disease with regard to the underlying cause as it is possible with each group of parameters alone.
AuthorsH Wieland, H Meissner-Heins, C Heins, D Seidel
JournalKlinische Wochenschrift (Klin Wochenschr) Vol. 60 Issue 7 Pg. 343-8 (Apr 01 1982) ISSN: 0023-2173 [Print] Germany
Vernacular TitleDie Bedeutung des Lipoprotein-X-Cholesterins in der Differentialdiagnostik der Cholestase.
PMID7078029 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Cholesterol, HDL
  • Lipoprotein-X
  • Lipoproteins, HDL
  • lipoprotein-X cholesterol
  • Cholesterol
  • Aspartate Aminotransferases
  • Alanine Transaminase
  • Alkaline Phosphatase
Topics
  • Alanine Transaminase (metabolism)
  • Alkaline Phosphatase (metabolism)
  • Aspartate Aminotransferases (metabolism)
  • Cholestasis (diagnosis)
  • Cholesterol (blood)
  • Cholesterol, HDL
  • Hepatitis (diagnosis)
  • Humans
  • Lipoprotein-X (blood)
  • Lipoproteins, HDL (blood)
  • Liver (enzymology)
  • Liver Cirrhosis (diagnosis)
  • Liver Neoplasms (diagnosis)

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