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06 October 2022: Articles

Pathogenic Novel Heterozygous Variant c.1076c>T p. (Ser359Phe) chr1: 120512166 in NOTCH2 Gene, Type 2 Alagille Syndrome Causing Neonatal Cholestasis: A Case Report

Unusual clinical course, Challenging differential diagnosis, Rare disease, Congenital defects / diseases

Mohammed Shahab Uddin A* , Saleh Al Fulayyih B , Fatin Fahad Al Denaini B , Maher Mohammed Al Hatlani A

DOI: 10.12659/AJCR.935840

Am J Case Rep 2022; 23:e935840

Table 2. Laboratory workup for neonatal cholestasis.

Workup done forResult
Serum amino acidNon-specific elevation of multiple amino acid
Urine for organic acidNormal
Tandem MSNormal
Thyroid functionNormal
TORCH screeningNormal
USG AbdomenNo choledochal cyst
Alpha-1-antitrypsin deficiencyNegative
GalactosemiaNegative
Tyrosinemia type 1Negative
Urine for reducing substanceNegative
Hepatitis BNegative
Hepatitis CNegative
CMVNegative
ECHONormal
X-ray spineNo abnormalities
Eye examinationNormal
Bile acid (≤6 umol/L)120
Tandem MS – tandem mass spectrometry; TORCH screening– , other agents, such as , varicella zoster virus, parvovirus B19, and human immunodeficiency virus; rubella, cytomegalovirus (CMV); herpes simplex virus (HSV); ECHO – echocardiography.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923