Management of Crigler-Najjar syndrome.
Eugen Tcaciuc, Mariana Podurean, Angela Tcaciuc
Abstract
Crigler-Najjar syndrome is a rare autosomal recessive inherited non-hemolytic unconjugated hyperbilirubinemia caused by UDP-glucuronosyltransferase deficiency. There are two forms of this disorder. Type 1 disease is associated with severe jaundice and neurologic impairment due to bilirubin encephalopathy that can result in permanent neurologic sequelae. Type 2 disease is associated with a lower serum bilirubin concentration and affected patients survive into adulthood without neurologic impairment. Currently, liver transplantation is the only available therapeutic method for these patients. Developing new curative approaches is a clinical need.
Topics & Concepts
MedicineLiver transplantationJaundiceUnconjugated hyperbilirubinemiaPediatricsBilirubinDiseaseKernicterusEncephalopathyLiver diseaseGastroenterologyInternal medicineTransplantationNeonatal Health and BiochemistryMetabolism and Genetic DisordersHeme Oxygenase-1 and Carbon Monoxide