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At What Age Is Type 2 Crigler-Najjar Syndrome Typically Diagnosed?

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Posted on Sat, 18 Jun 2016
Question: At what age is crigler najjir type 2 typically diagnosed?
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
Diagnosed in childhood.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Crigglar Najjar Syndrome type 2 is typically diagnosed by 4 years of age although it can be diagnosed when the age is in months.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (6 minutes later)
So me being 32 w elevated bilirubin means its not criggler? My levels vary w eating and fasting.. While fasting for 12+ its between 2.5-3.0 .... Ive had blood work done 60mins after eating and i was 1.2 so this does not sound like criggler type 2
doctor
Answered by Dr. Diptanshu Das (15 minutes later)
Brief Answer:
unlikely to be Crigglar Najjar syndrome at this age.

Detailed Answer:
Thanks for writing back. If you are middle aged and have a bilirubin of 32, it is unlikely to be Crigglar Najjar syndrome. The hepatitis profile needs to be tested for.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (5 minutes later)
So sorry... Im 32 years old.. My bilirubin is 1.2-3.0 based on fasting...
doctor
Answered by Dr. Diptanshu Das (11 hours later)
Brief Answer:
Get a full LFT done.

Detailed Answer:
Thanks for writing back. You could be suffering from a viral hepatitis. You should get a Liver function test (LFT) and a hepatitis profile done. Based on the reports further treatment can be done. Alternatively, you can visit a doctor who can examine you and assess your condition. I do not think that a bilirubin of 1.2 is alarming.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (5 hours later)
Ive had it done already and i was fating for 8 hours or so and all was good except my bilirubin which was 2.2 .. Doctor said gilberts syndrome .. Had the hepatitis panel done all came back negative .. Im just wondering if it can be criglers type 2...
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
A systematic outlook needed.

Detailed Answer:
Thanks for writing back and for clarifying.

The following link would help you to understand your situation better and to sort the possibilities:
http://www.aafp.org/afp/2004/0115/p299.html

I am not going for further explanation.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (13 minutes later)
Link does not lead to anything any longer.. Sorry to have irritated you.. I was just trying to get clarification on criglers .. Thats why i pay the 30 a month to healthcare magic so i dont have to set up appointments and wait for weeks ... Once again sorry to irritate .. Be blessed!
doctor
Answered by Dr. Diptanshu Das (15 hours later)
Brief Answer:
Clarification provided

Detailed Answer:
Let me deeply apologize for the inadvertent delay. It is not a matter of being irritated. It is about trying to help you out. While you are wondering about less likely possibilities, I was trying to educate you about the actual scenario so that you could find suitable resolution. If you insist me not to, I shall comply.

The link still works. It is possible that you had missed copying the entire link or could have copied additional characters like space etc.

Coming to Criggler Najjar, the jaundice in this disease is apparent at birth or in infancy. Severe unconjugated hyperbilirubinemia can lead to a condition called kernicterus, which is a form of brain damage caused by the accumulation of unconjugated bilirubin in the brain and nerve tissues.

If you have Gilbert's syndrome - also known as constitutional hepatic dysfunction and familial nonhemolytic jaundice - you are born with it as a result of an inherited gene mutation. You might not know you have the condition until it is discovered by accident, such as when a blood test shows elevated bilirubin levels. But merely having a raised bilirubin does not necessarily mean that you have Gilbert's.

I do not see how it can help you, but if it does, I would be glad to provide information worth '30' or possibly more.

Regards
Note: For detailed guidance on genetic screening consult a genetics specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3877 Questions

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At What Age Is Type 2 Crigler-Najjar Syndrome Typically Diagnosed?

Brief Answer: Diagnosed in childhood. Detailed Answer: Thanks for asking on HealthcareMagic. Crigglar Najjar Syndrome type 2 is typically diagnosed by 4 years of age although it can be diagnosed when the age is in months. Regards