Dubin-Johnson syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: HYPERBILIRUBINEMIA, DUBIN-JOHNSON TYPE
HBLRDJ
HYPERBILIRUBINEMIA II
DJS
Dubin-Sprinz disease
Sprinz-Nelson syndrome
Hyperbilirubinemia type 2
Number of Symptoms 20
OrphanetNr: 234
OMIM Id: 237500
ICD-10: E80.6
UMLs: C0022350
MeSH: D007566
MedDRA: 10013800
Snomed: 44553005

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: Autosomal recessive
[Orphanet]
Age of onset: Adolescent
Adult
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Disorder of bilirubin metabolism and excretion
 -Rare genetic disease
Metabolic liver disease
 -Rare genetic disease
 -Rare hepatic disease

Symptom Information: Sort by abundance 

1
(HPO:0012086) Abnormal urinary color Very frequent [Orphanet] 19 / 7739
2
(HPO:0001080) Biliary tract abnormality Very frequent [Orphanet] 26 / 7739
3
(HPO:0000952) Jaundice 105 / 7739
4
(HPO:0002592) Gastric ulcer Frequent [Orphanet] 39 / 7739
5
(HPO:0001396) Cholestasis Very frequent [Orphanet] 136 / 7739
6
(HPO:0002240) Hepatomegaly Occasional [Orphanet] 467 / 7739
7
(HPO:0002027) Abdominal pain Occasional [Orphanet] 184 / 7739
8
(HPO:0001928) Abnormality of coagulation Occasional [Orphanet] 44 / 7739
9
(HPO:0001945) Fever Occasional [Orphanet] 218 / 7739
10
(HPO:0002908) Conjugated hyperbilirubinemia 21 / 7739
11
(HPO:0001324) Muscle weakness Occasional [Orphanet] 859 / 7739
12
(OMIM) Normal total urinary coproporphyrin 1 / 7739
13
(HPO:0000007) Autosomal recessive inheritance 2538 / 7739
14
(OMIM) Normal serum bile acids 1 / 7739
15
(OMIM) Coarse pigment in centrilobular cells 1 / 7739
16
(OMIM) Nonvisualization of gallbladder (oral cholecystography) 1 / 7739
17
(OMIM) Black liver 1 / 7739
18
(OMIM) Routine liver function tests normal 1 / 7739
19
(OMIM) Characteristic urinary coproporphyrin pattern (mostly isomer I (80%) instead of isomer III) 1 / 7739
20
(OMIM) Bromosulfophthalein test - secondary rise at 90 minutes 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Dubin-Johnson syndrome is an autosomal recessive disorder characterized by conjugated hyperbilirubinemia, an increase in the urinary excretion of coproporphyrin isomer I, deposition of melanin-like pigment in hepatocytes, and prolonged retention of sulfobromophthalein, but otherwise normal liver function (summary ...
Clinical Description OMIM Dubin and Johnson (1954) described 12 patients with a distinct entity characterized clinically by 'constitutional hyperbilirubinemia' and histologically by the presence in the liver cells of striking amounts of an amorphous brown pigment. The disorder manifested as a ...
Molecular genetics OMIM Consistent with findings of defects in the homologous cmoat gene in 2 rat models of hyperbilirubinemia (Paulusma et al., 1996; Ito et al., 1997), Wada et al. (1998) reported 2 deletions and a missense mutation in the active ...
Population genetics OMIM The usefulness of inbred groups for the study of rare recessives is nicely illustrated by this disorder, which occurs with a minimal frequency of 1 per 1,300 among Iranian Jews (Shani et al., 1970).