# A Rare Presentation of Indirect Hyperbilirubinemia: Coexistence of Multiple UGT1A1 Gene Variants

## TL;DR

This paper presents a rare case of indirect hyperbilirubinemia caused by multiple UGT1A1 gene variants, highlighting the complexity of this condition.

## Contribution

The novelty lies in the rare presentation of multiple UGT1A1 gene variants contributing to indirect hyperbilirubinemia.

## Key findings

- The patient exhibited indirect hyperbilirubinemia due to multiple UGT1A1 gene variants.
- The case highlights the complexity of interpreting multiple UGT1A1 gene variants in clinical settings.

## Abstract

Indirect hyperbilirubinemia is a common clinical finding and rarely can be attributed to Crigler-Najjar syndrome type 2 or Gilbert syndrome. This case displays a rare presentation of indirect hyperbilirubinemia in a patient with multiple UGT1A1 gene variants. We aim to discuss the complexity of multiple UGT1A1 gene variants and its effect on the degree of observed hyperbilirubinemia.