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A 58-year-old male asked:

High total and direct bilirubin - but two fibroscans state no liver disease. what's going on, here?!

1 doctor answer1 doctor weighed in
Dr. Shaym Puppala
Internal Medicine 26 years experience
High d bili alone: When the only abnormality on thorough workup including liver function tests & liver scans is a high direct bilirubin making up approximately 50% of the total bilirubin, the diagnosis usually made is Rotor or Dubin-Johnson syndrome, rare but harmless inherited conditions. If there are any other abnormalities on tests or exam, or if medical history suggests otherwise, then many other possibilities.

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Last updated Jul 5, 2015

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