The Nicotinic Acid Test in Constitutional Conjugated Hyperbilirubinemias and Effects of Corticosteroid
Hideki Ohkubo, Kunio Okuda – 1 November 1984 – The nicotinic acid test was performed in 5 patients with Dubin‐Johnson syndrome, 5 with Rotor syndrome and 13 with Gilbert's syndrome. The increment in serum bilirubin concentration and bilirubin retention 5 hr later differed; the proportion of conjugated bilirubin in the increment of total bilirubin in Dubin‐Johnson and Rotor syndromes was greater than in Gilbert's syndrome. These observations suggest that the nicotinic acid test reflects, in part, impaired biliary excretion of conjugated bilirubin.