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  1. Crigler-Najjar Syndrome

1. MedlinePlus Medical Encyclopedia: Crigler-Najjar Syndrome
criglernajjar syndrome. Prevention Return to top. Genetic counseling is recommended for prospective parents with a family history of crigler-najjar syndrome.
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Crigler-Najjar syndrome
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Liver anatomy Alternative names Return to top Glucuronyl transferase deficiency (type I Crigler-Najjar); Arias syndrome (type II Crigler-Najjar) Definition Return to top Crigler-Najjar syndrome is an inherited disorder in which bilirubin (a substance made by the liver) cannot be changed into its water-soluble form, bilirubin glucuronide. This causes jaundice (yellow discoloration of skin and eyes) and organ malfunctions. Causes, incidence, and risk factors Return to top Crigler-Najjar syndrome is caused by an abnormal gene which fails to produce a functional enzyme (bilirubin glucuronyltransferase) capable of converting bilirubin into a water-soluble and therefore, easily excreted form. As a result, bilirubin can build up in the body, which can damage the brain and other organs. The syndrome is inherited as an autosomal recessive trait. This means that the child must get the defective gene from both parents to develop the severe form of the condition. Parents who are carriers (with just one defective gene) have about half the normal enzyme activity of a normal adult.

2. EMedicine - Crigler-Najjar Syndrome : Article By Alessio Pigazzi, MD, PhD
criglernajjar syndrome - crigler-najjar syndrome (CNS) is a rare disorder of bilirubin metabolism and has 2 distinct forms type 1 and type 2. Type 1 CNS is associated with neonatal jaundice and
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Crigler-Najjar Syndrome
Last Updated: August 26, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: CNS, Crigler-Najjar disease, Gilbert syndrome, Arias syndrome, congenital nonhemolytic jaundice, neonatal jaundice, inherited unconjugated hyperbilirubinemias, uridine diphosphate glycosyltransferase, UGT, kernicterus, bilirubin encephalopathy, plasma exchange transfusion AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Alessio Pigazzi, MD, PhD , Staff Physician, Department of General Surgery, New York Presbyterian Hospital Coauthor(s): Stefano Ravalli, MD , Assistant Professor, Department of Medicine, Division of Cardiology, Columbia University College of Physicians and Surgeons Editor(s): Tushar Patel, MD

3. CRIGLER-NAJJAR SYNDROME
Welcome to . Advertisement. criglernajjar syndrome - crigler-najjar syndrome - A rare genetic defect (autosomal recessive) where there is the inability to form bilirubin
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CRIGLER-NAJJAR SYNDROME - A rare genetic defect ( autosomal recessive ) where there is the inability to form bilirubin glucuronide due to the absence of the enzyme bilirubin-glucuronoside glucuronosyltransferase; finding include jaundice , and irreversible brain damage in the severe form.
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4. EMedicine - Crigler-Najjar Syndrome : Article Excerpt By: Alessio Pigazzi, MD, P
eMedicine World Medical Library. (advertisement). Excerpt from criglernajjar syndrome. Please click here to view the full topic text crigler-najjar syndrome.
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Excerpt from Crigler-Najjar Syndrome
Synonyms, Key Words, and Related Terms: CNS, Crigler-Najjar disease, Gilbert syndrome, Arias syndrome, congenital nonhemolytic jaundice, neonatal jaundice, inherited unconjugated hyperbilirubinemias, uridine diphosphate glycosyltransferase, UGT, kernicterus, bilirubin encephalopathy, plasma exchange transfusion
Please click here to view the full topic text: Crigler-Najjar Syndrome
Background: Crigler-Najjar syndrome (CNS) is a rare disorder of bilirubin metabolism and has 2 distinct forms: type 1 and type 2. Type 1 CNS is associated with neonatal jaundice and neurologic manifestations, whereas type 2 CNS (also called Arias syndrome) manifests as a lower serum bilirubin level. Affected individuals may survive to adulthood without any neurological impairment. The differential diagnosis of hyperbilirubinemia can be divided into 3 broad groups: (1) disorders of excessive bilirubin production (eg, hemolysis, ineffective erythropoiesis), (2) impaired hepatic handling of bilirubin (eg, hepatitis, cirrhosis, inherited syndromes), and (3) defective bile outflow (eg, intrahepatic or extrahepatic biliary obstruction). A markedly elevated unconjugated (indirect) hyperbilirubinemia is observed in inherited disorders such as Gilbert syndrome and CNS. Among the inherited unconjugated hyperbilirubinemias, Gilbert syndrome is believed to affect approximately 3-7% of the adult population. CNS is a much rarer disorder, with only a few hundred cases described in the literature.

5. ► Crigler-Najjar Syndrome
A medical encycopedia article on the topic crigler-najjar syndrome crigler-najjar syndrome is an inherited disorder in which bilirubin (a substance made by the liver) cannot be crigler-najjar syndrome is caused by an abnormal gene which fails to
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Crigler-Najjar syndrome
Overview Symptoms Treatment Prevention Definition:
Crigler-Najjar syndrome is an inherited disorder in which bilirubin (a substance made by the liver) cannot be changed into its water-soluble form, bilirubin glucuronide. This causes jaundice (yellow discoloration of skin and eyes) and organ malfunctions.
Alternative Names: Glucuronyl transferase deficiency (type I); Arias syndrome (type II Crigler-Najjar)
Causes, incidence, and risk factors: Crigler-Najjar syndrome is caused by an abnormal gene which fails to produce a functional enzyme (bilirubin glucuronyltransferase) capable of converting bilirubin into a water-soluble and therefore, easily excreted form. As a result, bilirubin can build up in the body, which can damage the brain and other organs. The syndrome is inherited as an autosomal recessive trait. This means that the child must get the defective gene from both parents to develop the severe form of the condition. Parents who are carriers (with just one defective gene) have about half the normal enzyme activity of a normal adult. Infants who inherit the trait from both parents (this is called homozygous for the abnormal gene) develop severe jaundice (hyperbilirubinemia) beginning a few days after birth. If these infants are not treated, they may develop

6. Crigler Najjar Syndrome Type I
criglernajjar syndrome type I is a very rare inherited metabolic disorder characterized by the life, most infants with crigler-najjar syndrome type I develop persistent yellowing
http://www.bchealthguide.org/kbase/nord/nord1084.htm
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National Organization for Rare Disorders, Inc.
Crigler Najjar Syndrome Type I
Important
It is possible that the main title of the report is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.
Synonyms
  • Bilirubin Glucuronosyltransferase Deficiency Type I Uridine Diphosphate Glucuronosyltransferase, Severe Def. Type I Congenital Familial Nonhemolytic Jaundice Type I
Disorder Subdivisions
  • None
Related Disorders List
Information on the following diseases can be found in the Related Disorders section of this report:
  • Crigler-Najjar Syndrome Type II Gilbert Syndrome Rotor Syndrome Rh Disease
General Discussion
Crigler-Najjar syndrome type I is a very rare inherited metabolic disorder characterized by the complete absence of the enzyme uridine diphosphate glucuronosyltransferase (UDPGT), which is normally found in the liver. This enzyme is required for the conversion (conjugation) and subsequent excretion of bilirubin from the body. When UDP-glucuronosyltransferase activity is absent, these metabolic processes are hampered and abnormally high levels of bilirubin accumulate in the blood (hyperbilirubinemia).
Within the first few days of life, most infants with Crigler-Najjar syndrome type I develop persistent yellowing of the skin, mucous membranes, and whites of the eyes (jaundice). In addition, some affected individuals may develop kernicterus, a potentially life-threatening neurological condition in which toxic levels of bilirubin accumulate in the brain, causing damage to the central nervous system. Early signs of kernicterus may include lack of energy (lethargy), vomiting, fever, and/or unsatisfactory feedings. More serious signs of kernicterus may develop, including abnormal muscle rigidity, resulting in muscle spasms (dystonia) and involuntary movements of the limbs and/or entire body (athetosis). Crigler-Najjar syndrome type I is inherited as an autosomal recessive genetic trait.

7. Crigler-Najjar Syndrome
criglernajjar syndrome. DESCRIPTION Two distinct, inherited, syndromes marked by deficiencies of hepatic Type II, Arias syndrome, is an autosomal dominant form; one parent will
http://www.5mcc.com/Assets/SUMMARY/TP0237.html
Crigler-Najjar syndrome
DESCRIPTION: Two distinct, inherited, syndromes marked by deficiencies of hepatic glucuronyl transferase. Both produce non-hemolytic unconjugated hyperbilirubinemia with jaundice.
  • Type I is an autosomal recessive form. Kernicterus may develop at any age (homozygotes develop severe hyperbilirubinemia in the first few days of life). Survival into childhood is possible with intensive therapy. Patients have no response to phenobarbital.
  • Type II, Arias syndrome, is an autosomal dominant form; one parent will have elevated bilirubin. Kernicterus has been reported in infants, but hyperbilirubinemia may be consistent with physiologic jaundice. Patients are responsive to phenobarbital.

CAUSES:
  • no uridine diphosphoglucuronic transferase
Synonyms:
  • congenital hyperbilirubinemia
  • glucuronyl transferase deficiency type I
  • familial unconjugated hyperbilirubinemia
ICD-9-CM:
277.4 disorders of bilirubin excretion
Author(s):
Mark R. Dambro, MD

8. Austin Health Information
An overview of criglernajjar syndrome including symptoms, treatment and prevention.
http://www.austin360.com/shared/health/adam/ency/article/001127.html

9. Medical Encyclopedia: Crigler-Najjar Syndrome (Print Version)
Medical Encyclopedia criglernajjar syndrome. Genetic counseling is recommended for prospective parents with a family history of crigler-najjar syndrome.
http://www.nlm.nih.gov/medlineplus/print/ency/article/001127.htm
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Medical Encyclopedia: Crigler-Najjar syndrome
URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/001127.htm Alternative names Glucuronyl transferase deficiency (type I Crigler-Najjar); Arias syndrome (type II Crigler-Najjar) Definition Crigler-Najjar syndrome is an inherited disorder in which bilirubin (a substance made by the liver) cannot be changed into its water-soluble form, bilirubin glucuronide. This causes jaundice (yellow discoloration of skin and eyes) and organ malfunctions. Causes, incidence, and risk factors Crigler-Najjar syndrome is caused by an abnormal gene which fails to produce a functional enzyme (bilirubin glucuronyltransferase) capable of converting bilirubin into a water-soluble and therefore, easily excreted form. As a result, bilirubin can build up in the body, which can damage the brain and other organs. The syndrome is inherited as an autosomal recessive trait. This means that the child must get the defective gene from both parents to develop the severe form of the condition. Parents who are carriers (with just one defective gene) have about half the normal enzyme activity of a normal adult. Infants who inherit the trait from both parents (this is called homozygous for the abnormal gene) develop severe jaundice (hyperbilirubinemia) beginning a few days after birth. If these infants are not treated, they may develop kernicterus, which is bilirubin toxicity of the brain and which can be fatal.

10. Crigler-Najjar Syndrome Information Diseases Database
criglernajjar syndrome UDP glucuronyl transferase deficiency, Disease Database Information Sponsors Contact Previous Page. crigler-najjar syndrome Information. crigler-najjar syndrome
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11. Crigler-Najjar Syndrome - Information / Diagnosis / Treatment / Prevention
home genetic disorders criglernajjar syndrome crigler-najjar syndrome. NORD Crigler Najjar Syndrome Type I General information and further resources.
http://www.healthcyclopedia.com/genetic-disorders/crigler-najjar-syndrome.html

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13. ► Crigler-Najjar Syndrome
criglernajjar syndrome. Prevention Genetic counseling is recommended for prospective parents with a family history of crigler-najjar syndrome.
http://www.umm.edu/ency/article/001127prv.htm
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Crigler-Najjar syndrome
Overview Symptoms Treatment Prevention Alternative Names:
Glucuronyl transferase deficiency (type I); Arias syndrome (type II Crigler-Najjar)
Prevention: Genetic counseling is recommended for prospective parents with a family history of Crigler-Najjar syndrome. People who carry the gene can be recognized by blood testing.
Liver anatomy
Review Date: 11/8/2002
Reviewed By: David G. Brooks, M.D., Ph.D., Division of Medical Genetics, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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14. AllRefer Health - Crigler-Najjar Syndrome (Arias Syndrome (Type II Crigler-Najja
criglernajjar syndrome. Review provided by VeriMed Healthcare Network. Main Page of crigler-najjar syndrome. From Our Sponsors ADAM. ADAM, Inc.
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Alternate Names : Arias Syndrome (Type II Crigler-Najjar), Glucuronyl Transferase Deficiency (Type I Crigler-Najjar) Definition Crigler-Najjar syndrome is an inherited disorder in which bilirubin (a substance made by the liver) cannot be changed into its water-soluble form, bilirubin glucuronide. This causes jaundice (yellow discoloration of skin and eyes) and organ malfunctions.
Liver Anatomy Crigler-Najjar syndrome is caused by an abnormal gene which fails to produce a functional enzyme (bilirubin glucuronyltransferase) capable of converting bilirubin into a water-soluble and therefore, easily excreted form. As a result, bilirubin can build up in the body, which can damage the brain and other organs.

15. AllRefer Health - Crigler-Najjar Syndrome Symptoms & Signs (Arias Syndrome (Type
You are here AllRefer.com Health Diseases Conditions criglernajjar syndrome Symptoms of crigler-najjar syndrome. crigler-najjar syndrome.
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Alternate Names : Arias Syndrome (Type II Crigler-Najjar), Glucuronyl Transferase Deficiency (Type I Crigler-Najjar)
  • A family history of Crigler-Najjar syndrome Yellow skin (jaundice) and eyes (icterus) that begins on the 2nd or 3rd day of life and progressively worsens Jaundice that persists beyond 2 weeks of life without an obvious cause Confusion and changes in thinking (resulting from brain toxicity of bilirubin)

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Topics that might be of interest to you Rh Incompatibility Bilirubin ELISA Liver Biopsy Other Topics Confusion Enzyme Glucuronyl Transferase Jaundice - Yellow Skin Review Date : 11/8/2002 Reviewed By : David G. Brooks, M.D., Ph.D., Division of Medical Genetics, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

16. Crigler-Najjar Syndrome
criglernajjar syndrome. Crigler-Najjar Syndrome crigler-najjar syndrome. crigler-najjar syndrome - Welcome to . Advertisement
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Crigler-Najjar Syndrome
Crigler-Najjar Syndrome Web Pages Welcome to the Crigler-Najjar Syndrome Web Site This is a web site devoted to children and adults with the Crigler-Najjar syndrome and their families. ...
www.icondata.com ...files/CRIGLER- ...PEDBASE) Discipline: GI Last Updated: 12/26/94 CRIGLER-NAJJAR SYNDROME - I DEFINITION: An inherited disorder of bilirubin...bili-rubin in the liver there are two forms of Crigler-Najjar Syndrome...
Crigler-Najjar syndrome
CRIGLER-NAJJAR SYNDROME Welcome to .... Advertisement CRIGLER-NAJJAR SYNDROME - A rare genetic defect (autosomal recessive) where there is the inability to form...
MEDLINEplus Medical Encyclopedia: Crigler-Najjar syndrome Crigler-Najjar syndrome. ... Causes and risks Return to top. Crigler-Najjar syndrome is inherited as an autosomal recessive trait. Parents ...

17. Crigler-Najjar3bis
Mutations in criglernajjar syndrome patients. B-UDPGT. Laboratories specialized in the diagnosis of Crigler -Najjar syndrome University of Dundee, UK.
http://it.geocities.com/criglernajjar/trebis.htm
CRIGLER-NAJJAR
SYNDROME Please refer to the following link: Crigler-Najjar Web pages Other useful links: OMIN Clinical description of the Crigler-Najjar syndrome from the Online Mendelian Inheritance in Man database. NORD Clinical description of the Crigler-Najjar syndrome from the National Organization for Rare Disorders, Inc. database. Dr. Namita Roy-Chowdhury Home page of Dr. N. Roy-Chowdhury at the Albert Einstein College of Medicine of Yeshiva University, Bronx, NY. The Human Gene Mutation Database Mutations in Crigler-Najjar syndrome patients. B-UDPGT Human UDP-glucuronosyltransferase from the OMIN database. Online Medical Dictionary Medical dictionary from the CancerWeb. Yahoo.health Clinical description of the Crigler-Najjar syndrome from the database of Adam.com. Yahoo.health. Glossary of Genetic Terms Glossary of genetic term from the NIH site. Cholestyramine Information on cholestyramine frome On Health web site. Download Acrobat file data sheet of Questran. Gabriella's Crigler-Najjar Page Personal page of a Crigler-Najjar patient. More Liver Links Foundations: American Liver Foundation Children's Liver Disease Foundation Center for Liver Disease and Transplantation Children's Liver Alliance Inc. (Australia)

18. Crigler-Najjar3
Several gene alterations have been discovered in criglernajjar syndrome patients, leading to reduced or absent B-UDPGT activity causing hyperbilirubinemia.
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CRIGLER-NAJJAR
SYNDROME Please refer to the following link: Crigler-Najjar Web pages Other useful links Definition Crigler-Najjar disease is an autosomal recessive inherited disease characterized by a persistent unconjugated hyperbilirubinemia. Glucuronidation by the bilirubin-uridine diphosphoglucuronate glucuronosyltransferase (B-UDPGT) is required for the secretion of bilirubin into the bile. In Crigler-Najjar patients the enzyme is either inactive (type I) or severely reduced (type II). The high plasma level of unconjugated bilirubin leads to jaundice and kernicterus (bilirubin encephalopathy). Treatment Current therapy mainly consists of phototherapy (10-12 hours per day) and the patient's survival is dependent on the indefinite continuation of this therapy. Although initially very effective, phototherapy is inconvenient and the efficacy of this treatment is reduced with ageing due to increased thickness of skin and body surface/weight ratio; thus, patients are again at risk for kernicterus around time of puberty. Liver transplantation is an efficacious therapy but the number of donor organs is limited and it requires life-long immune suppression. Genetics Several gene alterations have been discovered in Crigler-Najjar syndrome patients, leading to reduced or absent B-UDPGT activity causing hyperbilirubinemia. Full-length cDNA for human B-UDPGT has been cloned and

19. Crigler-Najjar Syndrome (www.whonamedit.com)
criglernajjar syndrome Also Hyperbilirubinaemia in newborn in crigler-najjar syndrome is called Najjar-Crigler icterus. Bibliography
http://www.whonamedit.com/synd.cfm/86.html

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Crigler-Najjar syndrome Also known as:
Arias’ syndrome
Synonyms: Congenital familial non-haeomolytic jaundice, congenital non-hemolytic jaundice, congenital non-heomlytic jaundice with kernicterus. Associated persons: Irwin Monroe Arias John Fielding Crigler Victor Assad Najjar Description: A familial form of congenital hyperbilirubinemia associated with severe disorders of the central nervous system and resembling kernicterus (degeneration of the basal ganglia). Other symptoms include jaundice of the skin, sclera, and mucous membrane. The syndrome is caused by an enzyme deficiency in the liver and faulty bilirubin conjugation. Both sexes affected. Presents with severe jaundice in the first few days after birth. Inheritance is autosomal dominant with incomplete penetration and varied expressivity. A deficiency of glucuronide formation was demonstrated by Irwin Monroe Arias in an anicteric father of two jaundiced children with a defect of hepatic glucuronyl transferase activity. This is sometimes referred to as Crigler-Najjar, type II. In Type I (above) death from kernicterus usually occurs within 15 months after birth. In Type II, which has been called Arias’ syndrome, the patient may survive to young adult life.

20. Crigler-Najjar Syndrome Information Diseases Database
criglernajjar syndrome aka/or UDP glucuronyl transferase deficiency Medical information linkscrigler-najjar syndrome specific sites.
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