Crigler-Najjar syndrome Type-I (CNSI) is a rare inherited metabolic disorder characterized by a severe defect in bilirubin conjugation.
Inheritance Mode: CNSI is inherited as an autosomal recessive disorder. This means that a person must inherit two copies of the mutated gene responsible for the disorder, one from each parent, to be affected.
Mechanism: The condition is caused by a near-complete deficiency of the enzyme UGT1A1 (UDP-glucuronosyltransferase 1A1), which is crucial for conjugating bilirubin in the liver. This deficiency leads to extremely high levels of unconjugated bilirubin in the blood, causing potential neurological damage (kernicterus).
Therefore, the inheritance pattern for Crigler-Najjar syndrome Type-I is autosomal recessive.
Which of the following are precipitating factors for hepatic encephalopathy ?
1. Hypokalemia
2. Septicemia
3. Increased dietary protein load
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When the serum ascites to albumin gradient (SAAG) is less than 1.1 gm/dL, then which of the following causes of ascites may be considered?
1. Infection
2. Malignancy
3. Cardiac ascites
4. Portal hypertension
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Which of the following are correct with regard to alpha-1-antitrypsin deficiency?
1. Prolonged jaundice in neonatal period
2. Pulmonary emphysema in adulthood
3. Panniculitis is seen rarely
4. Autosomal dominant disorder
Select the correct answer using the code given below.