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Jaundice with hypertrophic pyloric stenosis as an early manifestation of Gilbert syndrome
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  1. Pascale Triochea,
  2. Jacqueline Chalasb,
  3. Jeanne Francoualb,
  4. Liliane Capelb,
  5. Albert Lindenbaumb,
  6. Michel Odièvrea,
  7. Philippe Labrunea
  1. aService de Pédiatrie and UPRES EA 2704, Hôpital Antoine Béclère (AP-HP), 157 rue de la Porte de Trivaux, BP 405, 92141 Clamart CEDEX, France, bLaboratoire de Biochimie, Hôpital Antoine Béclère
  1. Dr Labrune. email: philippe.labrune{at}abc.ap-hop-paris.fr

Abstract

Jaundice associated with hypertrophic pyloric stenosis was recognised in three patients; previous reports have suggested that this is a possible early manifestation of Gilbert syndrome. Most patients with Gilbert syndrome are homozygous for a (TA)7TAA polymorphism in the gene promoter coding for bilirubin glucuronosyltransferase. Two of the reported patients were homozygous for the (TA)7TAA polymorphism whereas the third was heterozygous for the same polymorphism. Furthermore, no other factors contributing to jaundice in the three patients were found. These results suggest that jaundice associated with hypertrophic pyloric stenosis is due to molecular defects within the gene promoter.

  • jaundice
  • pyloric stenosis
  • Gilbert syndrome

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