Unusual presentation of Gilbert disease with high levels of unconjugated bilirubin: report of two cases

Autor: Eduardo Flores-Villalba, Carlos Rodriguez-Montalvo, Gabriela Arredondo-Saldaña, Francisco Bosques-Padilla, Tania Zertuche-Maldonado, Landy Torre-Flores
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2016
Předmět:
Zdroj: Revista Espanola de Enfermedades Digestivas, Vol 108, Iss 4, Pp 228-230 (2016)
Druh dokumentu: article
ISSN: 1130-0108
Popis: Gilbert's syndrome is a benign condition characterized by asymptomatic sporadic episodes of jaundice, due to a mild unconjugated hyperbilirubinemia caused by a deficiency in bilirubin glucoronidation. Under certain physiologic or pathologic events, bilirubin level rises but according to literature it does not reach out more than 3 mg/dl. We report 2 cases of Gilbert's syndrome, genetically tested, which presented with bilirubin levels above 6 mg/dl without any trigger or coexisting condition. In conclusion, bilirubin levels higher than 6 mg/dl in Gilbert syndrome are rare, hemolytic and other metabolism diseases must be ruled out, and genetic testing may be necessary in some cases.
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