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CaseName
Presentation Case 3. Gilbert syndrome
CaseDescription
he midst o f nal exams presents to a local clinic with “yellow eyes.” His physical examination is unremarkable except or scleral icterus, and a CBC and blood smear show no abnormalities. A comprehensive metabolic profile reveals a normal AST and ALT but elevated unconjugated bilirubin.
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Comment
Gilbert syndrome is an autosomal recessive disorder o bilirubin glucuronidation due to ↓ activity of the enzyme glucuronyl trans erase. Patients present with unconjugated hyperbilirubinemia but have a normal CBC, blood smear, and LFTs. The condition is benign, and no treatment is indicated.
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