LUCEY-DRISCOLL SYNDROME. Other entities represented in this entry: BREAST MILK JAUNDICE, INCLUDED. Phenotype-Gene Relationships. Location. Lucey–Driscoll syndrome is an autosomal recessive metabolic disorder affecting enzymes involved in bilirubin metabolism. It is one of several disorders. Lucey-Driscoll syndrome. Prevalence: ; Inheritance: ; Age of onset: Neonatal; ICD P; OMIM: ; UMLS: C; MeSH: ; GARD:
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Occasionally, severe neonatal unconjugated hyperbilirubinemia occurs without evident etiologic explanation. The cause of transient neonatal hyperbilirubinemia may be steroidal substances in the plasma and milk of the mother that inhibit conjugation of bilirubin Lucey et al.
The inhibitor was present in these mothers in concentrations 4 to 10 times that in other pregnant mothers.
The inhibitor is probably a progestational steroid. Three of the 16 died of kernicterus, and one was left with quadriplegic cerebral palsy. The mothers do not show hyperbilirubinemia, probably because of a large functional reserve.
Lucey-driscoll Syndrome (disorder): Disease Bioinformatics: Novus Biologicals
This is an interesting genetic disease of which there are few examples–one in which the genotype of the mother is responsible for the disease in the infant. Another example is mental retardation in the offspring sriscoll women with phenylketonuria Mabry et al. The ethnic background of these mothers and the presence or absence of consanguinity in their parents would be of interest. The same condition may be present in unusually high frequency in Yemenite Jews Sheba, Transient nonhemolytic unconjugated hyperbilirubinemia is observed in breast-fed but not bottle-fed babies of mothers whose breast milk contains pregnane-3 alpha ,20 beta -diol that competitively inhibits hepatic glucuronyltransferase activity in vitro.
Serum from these mothers contains no more inhibitory substance than does normal pregnancy serum. Kernicterus has not been observed, probably lucye severe jaundice does not develop until the seventh to tenth day, when the infant’s blood-brain barrier has become relatively impermeable to unconjugated bilirubin Arias et al. In infants with uninterrupted breastfeeding, the hyperbilirubinemia disappeared slowly and could still be detected 12 weeks after birth.
The familial incidence was Late neurodevelopmental or hearing defects were not observed, thus enabling the pediatrician to encourage continuation of breastfeeding in most cases of healthy infants with breast milk jaundice. Sex and body weight at birth were not significantly different between the 2 groups. When breastfeeding was stopped, the serum bilirubin levels began to decrease in all cases, but when breastfeeding was resumed, the serum bilirubin concentration again became elevated in some infants.
Serum bilirubin levels normalized by the time the infants were 4 months old. Sequencing of UGT1A1 revealed that 8 infants were homozygous and 7 heterozygous for a missense mutation The authors suggested that breastfeeding jaundice may be an infantile and inducible phenotype of Gilbert syndrome.
Another UGT1A1 missense mutation However, maximal body weight loss during the neonatal period was the only independent risk factor for the development of neonatal hyperbilirubinemia odds ratio of 1. Production of unconjugated hyperbilirubinaemia in full-term new-born infants following administration of pregnane-3 alpha20 beta -diol.
Lucey Driscoll syndrome
Prolonged neonatal unconjugated hyperbilirubinemia associated with breast feeding and a steroid, pregnane-3 alphapucey beta -diol, in maternal milk that inhibits glucuronide formation in vitro. Transient familial neonatal hyperbilirubinemia. Breast mild sic jaundice: Recurrence risk of neonatal hyperbilirubinemia in siblings.
Prolonged unconjugated hyperbilirubinemia associated with breast milk luucey mutations of the bilirubin uridine diphosphate-glucuronosyltransferase gene. Hyperbilirubinemia in breast-fed infants. Association of breast-fed neonatal hyperbilirubinemia with UGT1A1 polymorphisms: A number sign is used with this entry because of evidence that transient familial neonatal hyperbilirubinemia can be caused by heterozygous or homozygous mutation in the uridine diphosphate-glucuronosyltransferase gene UGT1A1; on chromosome 2q A bonus to all MIMmatch users is the option to sign up for updates on new gene-phenotype relationships.
Other entities represented in this entry: Clinical Synopsis Toggle Dropdown. Phenotypic Series Toggle Dropdown.
Breast Milk Jaundice Transient nonhemolytic unconjugated hyperbilirubinemia is observed in breast-fed but not bottle-fed babies of mothers whose breast milk contains pregnane-3 alpha ,20 beta -diol that competitively inhibits hepatic glucuronyltransferase activity in vitro.
Arias and Gartner rriscoll Newman and Gross TEXT A driscolll sign is used with this entry because of evidence that transient familial neonatal rdiscoll can be caused by heterozygous or homozygous mutation in the uridine diphosphate-glucuronosyltransferase gene UGT1A1; on chromosome 2q OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine.
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Lucey Driscoll syndrome — CheckOrphan
Hyperbilirubinemia, familial transient neonatal. Hyperbilirubinemia – PS – 7 Entries.
Crigler-Najjar syndrome, type I. Crigler-Najjar syndrome, type II. Hyperbilirubinemia, Rotor type, digenic.