A 7 year old is noted to have mild icterus

Question Number 1041
A 7 year old is noted to have mild icterus. On examination he is found to have moderate splenomegaly. Investigations reveal a conjugated hyperbilirubinemia. There are normal levels of AST, ALT, albumin, alkaline phosphatase. Tests on the urine reveal an elevated total coproporphyrin excretion of 5 times the normal with 25% being coproporphyrin I. A liver biopsy is normal. A likely diagnosis is
a) Gilbert's Syndrome
b) hemochromatosis
c) Laennec's cirrhosis
d) hepatitis A
e) Rotor's Syndrome


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