A 23 year old white male occasionally spontaneously develops a yellowish hue to both his skin and his sclera


Question Number 0906
Question:
A 23 year old white male occasionally spontaneously develops a yellowish hue to both his skin and his sclera. The jaundice spontaneously goes away as well. His annual physical is approaching, and is concerned about his weight, so he fasts for two days prior to his exam. On the day of his physical, he has mild jaundice. His doctor is concerned that he may have hepatitis and several tests are performed in addition to a liver biopsy. His laboratory results are all within normal limits with the exception of a mild unconjugated hyperbilirubinemia. His liver biopsy is normal. What is the most likely diagnosis?
a) Gilbert's Syndrome
b) Type I Crigler-Najjar Syndrome
c) Type II Crigler-Najjar Syndrome
d) Dubin Johnson Syndrome
e) Rotor's Syndrome

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