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Recurrent hyperbilirubinemia in an infant

Pawan Daga¹, Ira Shah²
¹Final year MBBS, Department of Pediatrics, Seth G S Medical College, Mumbai, ²Consultant in Pediatric Infectious Diseases and Pediatric Hepatology, Levioza Health Care, Mumbai, India

Address for Correspondence: Pawan Daga, Seth G S Medical College, Parel, Mumbai, India 400012. Email: pawandaga123@gmail.com

Clinical Problem:
A 7-month-old boy was referred for recurrent indirect hyperbilirubinemia since day 6 of life. The child had received phototherapy twice for same in neonatal period. He was also on phenobarbitone. Whenever, the phenobarbitone was stopped, jaundice used to recur. His milestones were normal. On examination, he was jaundice free and systemic examination was normal. Investigations including G6PD and pyruvate kinase activity, thyroid function tests and hemoglobin electrophoresis were normal.

What is the diagnosis and management of this patient?

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