Rotor'ssyndromeRotor'ssyndrome - Symptoms, diagnosis and treatment | BMJ Best PracticeSkip to main contentSkip to search * About us * Help * Subscribe * Access through your institution * Log inBMJ Best Practice * Help * Getting started * FAQs * Contact us * Recent updates * Specialties * Calculators * Patient leaflets * Videos * Evidence * Drugs * Recent updates * Specialties ]Rotor AB, Manahan L, Florentin A. Familial non-hemolytic jaundice with direct Van Den Bergh reaction. Acta Med Phil. 1948;5:37-49.[2]Namihisa T, Yamaguchi K. The constitutional hyperbilirubinemia in Japan: studies in 139 cases reported during the period 1963 to 1969. Gastroenterol Jpn. 1973;8:311-321.[3]Fretzayas AM, Stavrinadis CS, Koukoutsakis PM, et al. Diagnostic approach of Rotorsyndrome
/) for more information on commercially available clinical testing options.Incidental findingsGenetic variability in SLCO1B1 inf luences the hepatic uptake of other drugs (e.g., methotrexate)13,14 as well as important en-dogenous compounds (e.g., bilirubin).15 Complete SLCO1B1 and SLCO1B3 deficiency is associated with Rotorsyndrome.15 Genetic polymorphisms in ABCG2 inf
, FRCPConsultant SurgeonSt. Mark's HospitalLondonUKDisclosuresJTJ declares that he has no competing interests.Nancy Reau, MDAssistant Professor of MedicineUniversity of ChicagoCenter for Liver DiseaseChicagoILDisclosuresNR has received reimbursement for speaking for Gilead, maker of Viread and Hepsera, and BMS, maker of Baraclude. * * Differentials * Rotor'ssyndrome * Gilbert's syndrome * Crigler
of PDZK1, which encodes a urate transporter scaffold protein, decreased serum urate levels, while deletion of RHD, which encodes the Rhesus blood group D antigen, associated with hematological traits. Other signals overlapped Mendelian disorder regions, suggesting variable expressivity and broad impact of these loci, as illustrated by signals mapping to Rotorsyndrome (SLCO1B1/3), renal cysts
Rotorsyndrome by interrupting conjugated bilirubin reuptake into the liver. J. Clin. Invest. 122, 519–528 (2012). 18. Link, E. et al. SLCO1B1 variants and statin-induced myopathy--a genomewide study. N. Engl. J. Med. 359, 789–799 (2008). 19. Heart Protection Study Collaborative Group; Bulbulia, R. et al. Effects on 11-year mortality and morbidity of lowering LDL cholesterol with simvastatin for about
hyperbilirubinaemia is Rotor'ssyndrome but that shows no hyperpigmentation of the liver.[2] The poor or absent imaging of the gallbladder may lead to an erroneous diagnosis of gallstones.Hyperbilirubinaemia often indicates severe hepatobiliary disease of different causes.[5] Primary biliary cirrhosis causes jaundice and hepatosplenomegaly but there is also marked pruritus and usually positive , Dubin-Johnson, and Rotorsyndrome). Best Pract Res Clin Gastroenterol. 2010 Oct24(5):555-71.RELATED INFORMATIONJaundice (Causes and Treatment)Hello, I’m 39M living in Italy. don’t drink, smoke or use drugs.I got an ultrasound to check my kidney after an ureteroscopy surgery to remove a stone. The kidney was ok but they find multiple focal...alex23671Join the discussion on the forumsHEALTH TOOLSFeeling
experts in the businessEnter your email Join nowBy clicking ‘Join now’ you agree to our Terms and conditions and Privacy policy.FURTHER READING AND REFERENCESStrassburg CP; Hyperbilirubinemia syndromes (Gilbert-Meulengracht, Crigler-Najjar, Dubin-Johnson, and Rotorsyndrome). Best Pract Res Clin Gastroenterol. 2010 Oct24(5):555-71.King D, Armstrong MJ; Overview of Gilbert's syndrome. Drug Ther Bull
, demonstrable retention of several substances is needed to establish a diagnosis of cholestasis. Only in rare disorders of bilirubin metabolism (eg, Dubin-Johnson syndrome, Rotorsyndrome) does an isolated increase in the serum concentration of conjugated bilirubin appear, so increased serum conjugated bilirubin indicates cholestasis. The histopathologic definition of cholestasis is the appearance of bile
the circulation. The concentration of conjugated bilirubin in serum is elevated in cholestatic jaundice. Intrahepatic cholestasis may be due to primary biliary cirrhosis, hepatocellular disease such as acute viral hepatitis infection, drug-induced liver injury ,Dubin-Johnson syndrome, Rotorsyndrome, or cholestatic disease of pregnancy. Wilson's disease may also lead to intrahepatic cholestasis due to copper
-deficient liver strongly resemble the characteristics of Rotorsyndrome, suggesting that mutations in ATP11C can predispose to Rotorsyndrome. (Hepatology 2016;64:161-174).
-Driscoll syndrome, breast milk jaundice), (iii) bilirubin excretion into bile (Dubin-Johnson syndrome), or (iv) conjugated bilirubin re-uptake (Rotorsyndrome). In this review, the molecular mechanisms and clinical manifestations of these conditions are described, as well as current approaches to diagnosis and therapy.
Gene Replacement Therapy for Genetic Hepatocellular Jaundice. Jaundice results from the systemic accumulation of bilirubin, the final product of the catabolism of haem. Inherited liver disorders of bilirubin metabolism and transport can result in reduced hepatic uptake, conjugation or biliary secretion of bilirubin. In patients with Rotorsyndrome, bilirubin (re)uptake is impaired due
on serum UB and CB levels in health and disease states including hemolysis, extra- and intrahepatic cholestasis, hepatocellular diseases (eg, cirrhosis, hepatitis), and various congenital defects in bilirubin conjugation and secretion (eg, Gilbert's, Dubin-Johnson, Crigler-Najjar, Rotorsyndromes). Novel aspects of this review include: 1) quantitative estimates of the free and total UB and CB
. [QxMD MEDLINE Link]. 16. Zhou D, Qi S, Zhang W, et al. Insertion of LINE-1 retrotransposon inducing exon inversion causes a Rotorsyndrome phenotype. Front Genet. 2019. 10:1399. [QxMD MEDLINE Link]. [Full Text]. 17. Klein CJ, Revenis M, Kusenda C, Scavo L. Parenteral nutrition-associated conjugated hyperbilirubinemia in hospitalized infants. J Am Diet Assoc. 2010 Nov. 110(11):1684 Diffuse malignancy D. Inborn Errors of Metabolism D. Diseases That Interfere With Biliary Secretion of Bilirubin Dubin-Johnson syndrome Drug-induced cholestasis, as with the following: Rotorsyndrome
. [QxMD MEDLINE Link]. 16. Zhou D, Qi S, Zhang W, et al. Insertion of LINE-1 retrotransposon inducing exon inversion causes a Rotorsyndrome phenotype. Front Genet. 2019. 10:1399. [QxMD MEDLINE Link]. [Full Text]. 17. Klein CJ, Revenis M, Kusenda C, Scavo L. Parenteral nutrition-associated conjugated hyperbilirubinemia in hospitalized infants. J Am Diet Assoc. 2010 Nov. 110(11):1684 Diffuse malignancy D. Inborn Errors of Metabolism D. Diseases That Interfere With Biliary Secretion of Bilirubin Dubin-Johnson syndrome Drug-induced cholestasis, as with the following: Rotorsyndrome
: EpidemiologyFrequencyInternationalHereditary factor VII deficiency is a rare autosomal recessive bleeding disorder first described by Alexander et al in 1951. [3] Prevalence is estimated to be 1 case per 500,000 persons in the general population. Dubin-Johnson syndrome and Rotorsyndrome are associated with a high prevalence of factor VII deficiency. [12] Acquired factor VII deficiency from inhibitors is very rare. Cases have been reported
-Johnson syndrome Drug-induced cholestasis, as with the following: Rotorsyndrome * Benign recurrent cholestasis * Chlorpromazine a Rotorsyndrome phenotype. Front Genet. 2019. 10:1399. [QxMD MEDLINE Link]. [Full Text]. 17. Klein CJ, Revenis M, Kusenda C, Scavo L. Parenteral nutrition-associated conjugated hyperbilirubinemia in hospitalized infants. J Am Diet Assoc. 2010 Nov. 110(11):1684-95. [QxMD MEDLINE Link]. 18. Johnston DE. Special considerations in interpreting liver function tests. Am Fam Physician