Two easy-to-perform diagnostic tests for Gilbert's syndrome

Zhonghua Yi Xue Za Zhi (Taipei). 2002 May;65(5):231-4.

Abstract

Gilbert's syndrome is a benign, often familial condition characterized by asymptomatic jaundice. A patient suffering from Gilbert's syndrome may have hepatic activity of bilirubin-UDP-glucuronosyltransferase decreasing to levels around 30% of the normal. A clinical diagnosis of Gilbert's syndrome is usually followed in case of mild hyperbilirubinemia with a high fraction of unconjugated bilirubin, normal values of liver enzymes, and no overt signs of hemolysis. This article reported a 17-year-old male with only partial indication of indirect hyperbilirubinemia. Rifampicin test and caloric restriction test were applied to assure the patient had Gilbert's syndrome. These two non-invasive diagnostic means, with the benefit of avoiding hazardous liver biopsy, are gaining popularity in our routine Gilbert's syndrome examination.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bilirubin / blood
  • Energy Intake
  • Fasting
  • Gilbert Disease / diagnosis*
  • Humans
  • Male
  • Rifampin

Substances

  • Bilirubin
  • Rifampin