Test used for Dubin Johnson syndrome

Clinical test for Dubin-Johnson syndrome offered by LifeLabs Genetic When defective, as in DJS, there is increased urinary excretion of leukotriene metabolites. This may become a useful diagnostic test, but is not yet in widespread clinical use. Mayatepek E, Lehmann WD. Defective hepatobilary leukotriene elimination in patients with Dubin-Johnson syndrome This is a next generation sequencing (NGS) test appropriate for individuals with clinical signs and symptoms, suspicion of, or family history of Dubin-Johnson Syndrome. Sequence variants and/or copy number variants (deletions/duplications) within the ABCC2 gene will be detected with >99% sensitivity Dubin-Johnson syndrome (DJ) is benign, looks like mild viral hepatitis. It is characterized by mild recurrent jaundice with hepatomegaly. Pathophysiology. This is a rare genetic autosomal recessive disorder. This is due to the inability to transport bilirubin-diglucuronide through the parenchymal hepatic cells into bile canaliculi Approach Considerations The diagnosis of Dubin-Johnson syndrome (DJS) should be considered in all individuals with elevated conjugated bilirubin levels with otherwise normal liver function test..

Diseases Associated with Hyperbilirubinemia

A test often employed to investigate other liver diseases, a liver biopsy, is very rarely indicated in a patient with DJS. Another investigation that is not commonly required is a HIDA or DISIDA scan, which is typically performed to investigate biliary system transit

A test of MRP2 activity can also be done to differentiate between Dubin-Johnson syndrome and Rotor syndrome. The clearance of bromsulphthalein is used to determine this, the test for which is called bromsulphthalein clearance test. 100 units of BSP is injected intravenously and then the clearance Clinical test Help. In the U.S., clinical tests must be performed under CLIA certification. When a lab uses the same methods for a test in both clinical and research settings, the test appears as two separate GTR records. for Dubin-Johnson syndrome. Offered by Centogene AG - the Rare Disease Company Dubin-Johnson syndrome GTR Test ID Help Each Test is a specific, orderable test from a particular laboratory, and is assigned a unique GTR accession number. The format is GTR00000001.1, with a leading prefix 'GTR' followed by 8 digits, a period, then 1 or more digits representing the version When assessing for Dubin-Johnson syndrome, the patient should have the following done: Evaluated by the gastroenterologist or hepatologist to rule out other potentially harmful disorders; Be taught by the nurse of possible precipitating factors; Be consulted by the pharmacist for management of severe neonatal Dubin-Johnson syndrome Dubin-Johnson syndrome is a condition characterized by jaundice, which is a yellowing of the skin and whites of the eyes. In most affected people jaundice appears during adolescence or early adulthood. Jaundice is typically the only feature of Dubin-Johnson syndrome, but some people can experience weakness, mild abdominal pain, nausea, or vomiting

First described in 1954, Dubin-Johnson syndrome is an inherited, relapsing, benign disorder of bilirubin metabolism. This rare autosomal recessive condition is characterized by conjugated hyperbilirubinemia with normal liver transaminases, a unique pattern of urinary excretion of heme metabolites (coproporphyrins), and the deposition of a pig.. The syndrome interferes with the body's ability to move bilirubin through the liver into the bile. When the liver and spleen break down worn out red blood cells, bilirubin is produced. Bilirubin normally moves into the bile, which is produced by the liver. It then flows into the bile ducts, past the gallbladder, and into the digestive system The following procedures may be used to diagnose Dubin-Johnson Syndrome: Thorough evaluation of the individual's medical history and a complete physical examination of the body, including of the skin, abdomen, and eye

Dubin-Johnson syndrome - Tests - GTR - NCB

Swartz et al. (1987) used electron spin resonance to analyze the hepatic pigment from a hepatoma in a patient with Dubin-Johnson syndrome. They demonstrated that the pigment associated with Dubin-Johnson syndrome has no free radical in the absence of light, thus distinguishing the pigment from typical melanin or its closely related polymers Dubin-Johnson syndrome. Liver is darkly pigmented on gross inspection and may be enlarged. Rotor syndrome. Liver is normal. Bilirubin values range from 2 mg/dL to 5 mg/dL. Other liver function tests are normal + + are animal models for Dubin-Johnson syndrome;4-7.11 ,1 3 tamarins (Nos. 1-8)on routine blood screensand subsequent however a nonhuman primate, being closer phyloge- blood samples. These animals were designated for further study. Three healthy adult golden lion tamarins (two female netically, may be a better animal model in which t Syndrome de Dubin-Johnson Définition Le syndrome de Dubin-Johnson (SDJ) est une maladie hépatique héréditaire bénigne, caractérisée cliniquement par une hyperbilirubinémie chronique à prédominance conjuguée et, histologiquement, par un dépôt de pigment brun noir dans les cellules parenchymateuses hépatiques Is a 47 gene panel that includes assessment of non-coding variants. Is ideal for patients who have any type of cholestasis including those with clinical suspicion of Alagille syndrome, citrullinemia type 2, Crigler-Najjar syndrome types 1 and 2, Dubin-Johnson syndrome, Gilbert syndrome, intrahepatic cholestasis of pregnancy type 3 or progressive familial intrahepatic cholestasis types 1-4

Dubin-Johnson Syndrome is very rare and it is caused solely by genetics meaning that it is an inherited condition. Dubin-Johnson syndrome is an autosomal recessive inheritance meaning that a person might only acquire Dubin-Johnson issue when both parents enjoy the defective gene that causes this condition Dubin-Johnson syndrome A rare AUTOSOMAL RECESSIVE condition featuring a failure of BILIRUBIN transport in the liver and increased levels of bilirubin in the blood. There is sickness and mild JAUNDICE but the outlook is excellent. (Isadore Nathan Dubin, Canadian pathologist, b. 1913, and Frank Bacchus Johnson, American pathologist, b. 1919) Dubin-Johnson syndrome is a rare genetic liver disorder characterized by elevated levels of bilirubin in blood (hyperbilirubinemia). Persistent yellowing of the skin, mucous membranes, and whites of the eyes (jaundice) is usually the only symptom and, in most cases, does not appear before puberty In the Dubin-Johnson syndrome, of BSP were both reduced in 13 patients with hepatocellular and obstructive jaundice. In the Dubin-Johnson syndrome, Tm approaches zero, while the relative storage capacity of BSP is entirely normal. This test is therefore pathognomonic for the familial direct hyperbilirubinemia Dubin-Johnson syndrome is an inherited, relapsing, benign disorder of bilirubin metabolism. Dubin-Johnson syndrome is characterized by defective bilirubin excretion into bile. This results in reduced hepatic bilirubin clearance. [ 1] This rare autosomal recessive condition is characterized by conjugated hyperbilirubinemia with normal liver.

Dubin-Johnson syndrome - Diagnosis Approach BMJ Best

Search for: Rare Disease Profiles; 5 Facts; Rare IQ; Rare Mystery; What is Dubin-johnson Syndrome ? Autosomal recessive disorder. The condition causes an increase of conjugated bilirubin in the serum without elevation of liver enzymes Maruzen, Tokyo, 1967, p 1320-1328 16. Shani M, Seligson U, Gilon E, et al: Dubin-Johnson syndrome 'in Israel. 1. Clinical, laboratory and genetic aspects of 101 cases. Q J Med 39:549-567, 1970 17. Shani M, Gilon E, Ben-Ezzer J, et al: Sulfobromophthalein tolerance test in patients with Dubin-Johnson syndrome and their relatives

Dubin-Johnson syndrome who contracted acute viral hepatitis and in whom a pro­ longed BSP test has demonstrated per­ sistence of the hepatic excretory defect at a time when the hepatic pigment was markedly diminished and most of the parenchymal cells were newly regenerated. Case Report E. M., a 26-year-old Negro woman, was firs Dubin-Johnson syndrome This one is an autosomal recessive disorder in which patients have an increase in conjugated bilirubin in the blood. It's caused by a defect in secretion of bilirubin glucuronides (already conjugated!) across the canalicular membrane (patients are missing a canalicular protein that transports bilirubin glucuronides into.

In the Dubin-Johnson syndrome, Tm approaches zero, while the relative storage capacity of BSP is entirely normal. This test is therefore pathognomonic for the familial direct hyperbilirubinemia. Constant infusion of BSP in 19 first degree relatives of patients with Dubin-Johnson syndrome and Rotor syndrome failed to identify carriers of the. Dubin-Johnson syndrome (DJS) is caused by the mutation of the ABCC2 gene, which leads to the functional defect of its encoded MPR2 protein. This causes endogenous and exogenous anionic.

The Dubin-Johnson Syndrome (DJS) is characterized by a black liver; chronic nonhemolytic, pre­ dominantly conjugated hyperbilirubinemia; and im­ paired biliary excretion of substances such as Brom­ sulphalein. The nature of the black pigment in the DJS is not known.i Both lipofuscin2-5 and melanin6- Disease definition. Dubin-Johnson syndrome (DJS) is a benign, inherited liver disorder characterized clinically by chronic, predominantly conjugated, hyperbilirubinemia and histopathologically by black-brown pigment deposition in parenchymal liver cells Which test becomes abnormal and used in risk assessment for the earliest stage of the acute coronary syndrome? a. Myoglobin b. High-sensitivity C-reactive protein (hsCRP) c. Gilbert's syndrome d. Dubin-Johnson syndrome. a. Which of the following would indicate prehepatic liver problems? a. Total Bilirubin increased; Direct Bilirubin normal. Abnormal Liver Function Tests: Elevated Serum Bilirubin and/or Predominant Elevations in ALP, 5'-NT, and/or Gamma Glutamyltransferase (GGT) Dubin-Johnson syndrome, Rotor syndrome

Dubin-Johnson Syndrome (ABCC2 Single Gene Test) Fulgent

  1. Dubin-Johnson syndrome. More than 40 mutations in the ABCC2 gene have been found to cause Dubin-Johnson syndrome. This condition is characterized by jaundice, which is a yellowing of the skin and whites of the eyes, that typically appears during adolescence or early adulthood
  2. Dubin-Johnson Syndrome. List of authors. A 48-year-old woman scheduled to receive a laparoscopic cholecystectomy underwent a preoperative evaluation. A laparoscopic exploration, shown in a video.
  3. Although Dubin-Johnson syndrome and Rotor syndrome have similar phenotypes (mild, fluctuating elevation of both unconjugated and conjugated bilirubin in plasma), in Dubin-Johnson syndrome biliary excretion of organic anions, except bile acids, is impaired, while Rotor syndrome is a disorder of hepatic storage
  4. Rotor syndrome: an inherited conjugated hyperbilirubinemia that causes intermittent jaundice; similar to Dubin-Johnson without the retention of other compounds or a black liver. The drug atazanavir (sometimes used to treat HIV infection ) causes the same block in bilirubin metabolism as Gilbert syndrome and can cause mild jaundice that can.
  5. Background: Dubin-Johnson syndrome (DJS) is a benign autosomal recessive liver disease involving mutations of the ABCC2 gene. It is characterized by chronic or intermittent conjugated hyperbilirubinemia, with chronic idiopathic jaundice as the main clinical manifestation
  6. Dubin-Johnson syndrome (DJS) is a disorder passed down through families (inherited). In this condition, you may have mild jaundice throughout life. Causes . DJS is a very rare genetic disorder. In order to inherit the condition, a child must get a copy of the defective gene from both parents
  7. Introduction. Due to dual blood supply the liver does not typically infarct. Flow can be obstructed in 3 places. pre-hepatic. caused mainly by vessel thrombosis. transplant rejection (hepatic artery) polyarteritis nodosa (hepatic artery) pyelphlebitis (portal vein) hepatocellular carcinoma (portal vein

Dubin-Johnson Syndrome Diagnosis - Labpedia

The urine sample can be used. Precautions. Avoid the hemolyzed sample. Avoid lipemic serum. Avoid serum from the light. Avoid urine from exposure to light. Pathophysiology. This is a rare, relatively benign (mild) autosomal recessive disease of the liver. This is similar to Dubin-Johnson syndrome and both lead to increase conjugated (direct. A liver biopsy may be helpful in distinguishing Rotor syndrome for other, more serious liver diseases. Since Rotor syndrome is clinically similar to Dubin-Johnson syndrome (DJS), it is imperative to distinguish between these two conditions; the absence of dark melanin-like pigments on liver biopsy distinguishes Rotor Syndrome from DJS Dubin-Johnson syndrome is an autosomal recessive condition characterized by recurrent episodes of jaundice and conjugated hyperbilirubinemia. It exacerbates during pregnancy and needs to be differentiated from other causes of jaundice. A 30-year-old patient presented to us with jaundice in her fourth pregnancy. She had intermittent episodes of jaundice earlier, with exacerbation in each.

DUBIN-JOHNSON SYNDROME; DJS SNOMEDCT: 44553005 - Bromosulfophthalein test - secondary rise at 90 minutes [UMLS: C1855975] MISCELLANEOUS - Most patients are asymptomatic - Icterus can be increased by oral contraceptives, pregnancy, or intercurrent illnes Dubin-Johnson syndrome is a rare, autosomal recessive hereditary disease, commonly known as black liver disease. It is of great interest for surgeons to accidentally find the black liver during laparoscopic cholecystectomy (LC). We performed an emergency LC for cholecystolithiasis with Dubin-Johnson syndrome in 2013

Dubin-Johnson Syndrome Workup: Approach Considerations

Rotor syndrome is diagnosed based on symptoms and various laboratory tests. Physical exams in affected people are typically normal, except for mild jaundice. There are two forms of bilirubin in the body: a toxic form called unconjugated bilirubin and a nontoxic form called conjugated bilirubin. People with Rotor syndrome have a buildup of both in their blood (hyperbilirubinemia), but having. Exam Mode. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. MSN Exam for Immune System (EM) Choose the letter of the correct answer. You got 20 minutes to finish the exam .Good luck Paul Berk, Kevin Korenblat, in Goldman's Cecil Medicine (Twenty Fourth Edition), 2012. Conjugated or Mixed Hyperbilirubinemia. Two phenotypically similar but mechanistically distinct inherited disorders, Dubin-Johnson syndrome and Rotor's syndrome, are characterized by conjugated or mixed hyperbilirubinemia with normal values for other standard liver tests (see Table 149-2) Dubin-Johnson syndrome (DJS) is an autosomal recessive disorder characterized by conjugated hyperbilirubinemia and caused by mutations of the ATP-binding cassette (ABC) transporter encoding gene. Dubin-Johnson syndrome b. Physiologic jaundice of the newborn c. Crigler-Najjar syndrome d. Gilbert's syndrome. a. A urinalysis dipstick test indicated that urobiliinogen was absent. Which condition does this support? a. Biliary obstruction. b. Hep A acute infection c. Defective liver cell function d. Hepatocellular diseas

Sample The sample is urine. A random sample can be taken. Precautions A fresh urine sample is needed. Store at 2 to 8 °C for no longer than 24 hours. Avoid urine to light. Exposure to light urine will decrease the bilirubin. The false-positive result is seen in the metab Du·bin-John·son syndrome (dooґb ə n jonґs ə n) [Isidore Nathan Dubin, American pathologist, 1913â€1981; Frank B. Johnson, American pathologist, born 1919] see under syndrome. Medical dictionary. 2011 Table 3 Comparison of Dubin Johnson syndrome and other causes of neonatal cholestasis Dubin Johnson syndrome (n=06) Other causes (n=129) p value Male : Female 2 : 4 75 : 54 0.232 Term baby 6 98 0.173 Growth failure 0 21 0.284 Jaundice 6 81 0.125 Hepatomegaly 0 37 0.161 Splenomegaly 0 20 0.342 Acholic stool 2 46 0.90

Dubin johnson syndrome definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now Signs and symptoms. Rotor syndrome has many features in common with Dubin-Johnson syndrome, an exception being that the liver cells are not pigmented.The main symptom is a non-itching jaundice.There is a rise in bilirubin in the patient's serum, mainly of the conjugated type.. It can be differentiated from Dubin-Johnson syndrome in the following ways Otherwise, the likely cause is one of the remaining two hereditary disorders in bilirubin metabolism (Table 2): Dubin-Johnson syndrome (DJ) or Rotor syndrome. 2. In DJ, a defect exists in the gene encoding MRP2,.

Dubin Johnson Syndrome - NORD (National Organization for

Dubin-Johnson syndrome - Wikipedi

Dubin johnson syndrome has a defect in the multispecific anion transporter gene. Likely a loss of function mutation, since the mutation affects the cytoplasmic domain. Dubin johnson syndrome is a very rare genetic disorder. In order to inherit the condition, a child must get a copy of the defective gene from both parents. Although most patients. in Dubin-Johnson syndrome (DJS) was initially de­ scribed by Koskelo and his associates 1 and subsequently confirmed by Ben-Ezzer et al. 2 and Wolkoff et al. 3 A re­ markable increase in urinary excretion of coproporphy­ rin I with a concomitant decrease in coproporphyrin III excretion was characteristic of DJS. Ben-Ezzer and he Dubin-johnson is just a defunct transporter for your conjugated bilirubin, which is water soluble and can be excreted in your urine relatively harm-free. A very interesting article outlines why Alagille syndrome, which also has ductopenia and cholestasis rarely progresses to cirrhosis. Please promote test prep materials/services. Clinical suspicion of Dubin-Johnson syndrome was raised. Liver biopsy showed diffuse deposition of coarse granular dark brown pigment in hepatocytes. Dubin-Johnson syndrome is a benign condition, which results from a hereditary defect in biliary secretion of bilirubin pigments, and manifests as recurrent jaundice with conjugated hyperbilirubinemia 35 years old female with Dubin Jhonson syndrome , diagnosed in child hood , no symptoms now . what is the prognosis , what will be complications and any organ damage or problems in future age ..

Dubin-Johnson 2. Rotor syndrome. Gilbert syndrome-most common cause of jaundice-benign hereditary disorder delta bilirubin reacts as _____ bilirubin in lab tests for measurements. conjugated. Rotor syndrome-unknown defect-relatively benign. physiologic jaundice of the newbor Hemolytic disease 2. Genetic disorders - crigler najjar and gilbert's syndrome 3. Neonatal jaundice/physiological jaundice Isolated increase in conjugated bilirubin is due to - 1. Cholestasis 2. Genetic disorders - Dubin johnson syndrome and rotor's syndrome Increase in both conjugated and unconjugated bilirubin is due to - 1

Dubin Johnson Syndrome Article - StatPearl

Dubin-Johnson syndrome: MedlinePlus Genetic

  1. Diagnoses can include conditions of disordered bilirubin metabolism (Gilbert's, Crigler-Najjar, Rotor, or Dubin-Johnson syndromes) or an acquired disease, including alcoholic/non-alcoholic fatty liver disease, hepatotropic hepatitis, cirrhosis, or hepato-biliary malignancy
  2. utes [UMLS: C1855975] MISCELLANEOUS - Most patients are asymptomatic - Icterus can be increased by oral contraceptives, pregnancy, or intercurrent illnes
  3. Gene Tested: UGT1A1. Description . Variants in UGT1A1 cause Crigler-Najjar syndrome (CN), types I and II. CN1 is the more severe form and is characterized by the total absence of hepatic UGT1A1 activity and potentially lethal hyperbilirubinemia with serum bilirubin levels at 20-50mg/dl
  4. Background Recent studies have indicated that dysfunction or loss of the multidrug resistance protein 2 (MRP2) is the molecular basis of Dubin-Johnson syndrome (DJS). To clarify the genetic basis of the disease and the long-term stability of serum bilirubin levels, we conducted a mutational analysis of the MRP2 gene and followed up serum bilirubin levels in Japanese DJS patients 30 years after.
  5. Dubin-Johnson syndrome and Rotor syndrome cause conjugated hyperbilirubinemia, but without cholestasis, causing no symptoms or sequelae other than jaundice. Bilirubin may appear in the urine, in contrast to the unconjugated hyperbilirubinemia in Gilbert syndrome (which also causes no other symptoms), in which bilirubin is absent from the urine
  6. antly conjugated bilirubin and bilirubinuria. It is inherited by an autosomal recessive type, distributed mainly in the Middle East among Iranian Jews. , , , , , , , , ,

You may need this test if the results of a total bilirubin blood test are abnormal. Your total bilirubin may be tested if your healthcare provider suspects you have certain health conditions. These include transfusion reaction, Gilbert syndrome, Dubin-Johnson syndrome, Rotor syndrome, or Crigler-Najjar syndrome Rotor syndrome is an autosomal recessive disorder caused by a concurrent complete deficiency of the major hepatic drug uptake transporters OATP1B1 and OATP1B3, encoded by SLCO1B1 and SLCO1B3 genes, respectively (van de Steeg et al. 2012). This obligate two-gene disorder represents one of the clearest examples of digenic inheritance in human disease (Schäffer 2013) the secretory mechanism, Dubin-Johnson syndrome and Rotor syndrome, which result in elevated conjugated bilirubin. Total serum bilirubin with increased prothrombin time correlates with poor outcomes in alcoholic hepatitis.18 Both are also critical components of Model for End-Stage Liver Disease (MELD) score and Child-Pugh score

This is a full gene sequencing test for UGT1A1 that includes the TA repeat region of the promoter and all intron/exon boundaries. Results are interpreted for the purposes of UGT1A1 drug metabolism and hereditary hyperbilirubinemia syndromes (Gilbert syndrome and Crigler-Najjar syndrome) Dubin-Johnson syndrome is a chronic, benign, intermittent jaundice, mostly of conjugated hyperbilirubinemia. The level of bilirubin is not expected to be more than 20 mg/dl in this syndrome. In this article, we report a patient who was evaluated for hyperbilirubinemia and liver function test abnormalities and diagnosed with Dubin-Johnson. Dubin-Johnson syndrome (DJS) is an autosomal reces-sive disorder which was first described in 1954 [1]. As a rare disorder affecting both genders, DJS has been identified in all nationalities and races. Its incidence in Sephardic Jews is approximately 1 in 3000 [2]. The syndrome is characterized by predominantly conjugate

Dubin-Johnson Syndrome Treatment & Management: Approach

Phone: 773.834.0555 Fax: 773.702.9130 Toll free: 888.824.3637 Follow us on Sindrom Dubin-Johnson. Sindrom Dubin-Johnson adalah kelainan genetik yang menyebabkan tingginya kadar bilirubin di dalam tubuh. Bilirubin merupakan pigmen berwarna kuning-jingga yang berasal dari sisa penghancuran sel darah merah. Kondisi bilirubin yang berada di atas normal ini disebut sebagai hiperbilirubinemia Previously, we postulated that the unidentified pigment in the Dubin-Johnson syndrome results from the accumulation of tyrosine, phenylalanine and tryptophan metabolites, such as metanephrine, which are normally secreted in bile as organic anions. We tested this hypothesis in TR − rats In order to prepare 100 mL of 15 mg/dl working standard from a stock solution containing 500 mg/dL of urea nitrogen, the number of mL of stock solution the number of mls of stock solution that should be used is: A. 3mL. B. 5 mL. C. 33 mL. D. 75 m

Dubin-Johnson syndrome: MedlinePlus Medical Encyclopedi

  1. Rotor syndrome is a relatively mild condition characterized by elevated levels of a substance called bilirubin in the blood (hyperbilirubinemia). Bilirubin is produced when red blood cells are broken down. Explore symptoms, inheritance, genetics of this condition
  2. Dubin-Johnson syndrome. Dubin-Johnson syndrome (DJS) is a disorder passed down through families (inherited). In this condition, you may have mild jaundice throughout life. Causes DJS is a very rare genetic disorder. In order to inherit the condition, a child must get a copy of the defective gene from both parents
  3. A patient was first found to have Dubin-Johnson syndrome and chronic hepatitis at the age of 25 years. Two years later, he underwent gastrectomy because of massive bleeding from duodenal ulcer, followed by posttransfusion self-limited biochemical liver damage. Twenty-five years later, his jaundice worsened to a serum bilirubin level of 10 mg/dl. The test for circulating hepatitis C virus RNA.
  4. With respect to urinary coproporphyrin excretion, Rotor's syndrome and Dubin-Johnson syndrome are both inherited as autosomal recessive traits and are separate pathophysiologic entities. [ncbi.nlm.nih.gov] A distinct inheritable pathophysiologic entity. Am J Med 60(2):173-179 PubMed Google Scholar 4
  5. Dubin-Johnson Syndrome - DoveMe
  6. Dubin-Johnson Syndrome - an overview ScienceDirect Topic
  7. Dubin-Johnson syndrome Genetic and Rare Diseases

Dubin-Johnson syndrome Osmosi

Cholestasis Panel - Global Genetic Tests and Genetic

  1. Dubin Johnson Syndrome USMLE Dubin Johnson Syndrom
  2. Dubin-Johnson syndrome definition of Dubin-Johnson
  3. Crigler Najjar Syndrome - NORD (National Organization for

Sulfobromophthalein Tolerance Test in Patients with Dubin

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