A 21-Year-Old Man Comes to the Office Due to Yellow

A 21-year-old man comes to the office due to yellow discoloration of his eyes after a hiking trip.  The patient had a similar episode 2 years ago after fasting for a couple of days.  Vital signs are within normal limits.  Examination shows scleral icterus; there is no hepatosplenomegaly.  Laboratory findings are as follows: Which of the following is the most likely cause of this patient's jaundice?

A) Decreased activity of UDP glucuronosyltransferase
B) Decreased excretion of bilirubin by hepatocytes
C) Hemolysis due to erythrocyte spectrin deficiency
D) Intermittent activation of chronic hepatitis C infection
E) Intermittent obstruction of common bile duct by gallstones

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free