ICD-11 definition : Crigler-Najjar syndrome is an autosomal recessive disorder of bilirubin metabolism
characterized by unconjugated hyperbilirubinemia due to a hepatic deficit of bilirubin
glucuronosyltransferase activity. Two types have been described, CNS types 1 and 2,
depending on whether the enzymatic deficit is complete or partial: clinical manifestations
vary accordingly. Patients present with isolated jaundice that appears early in life.
Biological analyses detect severe unconjugated hyperbilirubinemia with normal liver
function tests. Abdominal imaging studies (plain X-rays, CT scans or ultrasonograms)
and liver histology findings are normal. Diagnosis is generally confirmed by genomic
DNA analysis.;
Crigler-Najjar syndrome is an autosomal recessive disorder of bilirubin metabolism
characterized by unconjugated hyperbilirubinemia due to a hepatic deficit of bilirubin
glucuronosyltransferase activity. Two types have been described, CNS types 1 and 2,
depending on whether the enzymatic deficit is complete or partial: clinical manifestations
vary accordingly. Patients present with isolated jaundice that appears early in life.
Biological analyses detect severe unconjugated hyperbilirubinemia with normal liver
function tests. Abdominal imaging studies (plain X-rays, CT scans or ultrasonograms)
and liver histology findings are normal. Diagnosis is generally confirmed by genomic
DNA analysis.