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Crigler-Najjar syndrome type 2
Pathology:
- deficiency in UDP-glucuronyltransferase 1
Genetics:
- autosomal dominant
- associated with defects in UGT1A1 gene
Clinical manifestations:
- less severe than for Crigler-Najjar syndrome type 1
- affected individuals usually survive into adulthood without neurologic damage
Laboratory:
- unconjugated hyperbilirubinemia, serum unconjugated bilirubin levels in the range of 7-20 mg/dL
- UGT1A1 gene mutation
Management:
- phenobarbital 60-180 mg/day causes a rapid decline in serum bilirubin, but treatment is rarely necessary except in the newborn
Related
bilirubin
UDP-glucuronosyltransferase (UDPGT)
General
Crigler-Najjar syndrome
Properties
ACCUMULATION: bilirubin
DEFICIENCY: glucuronyl transferase
Database Correlations
OMIM correlations
MORBIDMAP 191740
References
- Saunders Manual of Medical Practice, Rakel (ed),
WB Saunders, Philadelphia, 1996, pg 361-62, 371-73
- OMIM :accession 60678