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Updated: May 21, 2026

Isolation of Neonatal Extrahepatic Cholangiocytes
Published on: June 5, 2014
Intractable neonatal jaundice due to hereditary spherocytosis and Gilbert's syndrome
Abdul Qader Tahir Ismail1, Anjum Gandhi, Nagui El-Shimy
1Paediatrics Department, Good Hope Hospital, Birmingham, West Midlands, UK. aqt.ismail@bnc.oxon.org
Abstract:
In this article the authors present a case of pathological neonatal jaundice resistant to phototherapy in a baby with a family history of Gilbert's syndrome and hereditary spherocytosis. Her presentation was ultimately explained with a diagnosis of both conditions, and required treatment with phenobarbitone. The authors discuss the mechanism by which Gilbert's syndrome results in hyperbilirubinaemia and its similarities with Crigler-Najjar syndrome. The presentation of hereditary spherocystosis in the neonatal period is also explored, as is the mechanism of exaggerated hyperbilirubinaemia when the two conditions co-exist.
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