Budumuri Gautam V Kumar* and Rohit Gupta
A 24 years young male with no prior history of jaundice now presented with progressive jaundice and hepatomegaly. Autoimmune serology and liver biopsy revealed features of autoimmune hepatitis. He was started on oral prednisolone and azathioprine, following which he attained remission. However, he persisted in having hyperbilirubinemia with a predominant unconjugated fraction. Hemolytic causes of unconjugated hyperbilirubinemia were ruled out, and the diagnosis of Gilbert Syndrome was established.
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