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Living with Rotor syndrome

A mild inherited condition that raises bilirubin in the blood and can cause yellowing of the skin or eyes that comes and goes.

Understanding Rotor syndrome

Rotor syndrome is a relatively mild condition with high levels of bilirubin in the blood (hyperbilirubinemia).

Bilirubin is an orange-yellow substance made when red blood cells break down. Too much can cause yellowing of the skin or whites of the eyes (jaundice). In Rotor syndrome, jaundice is usually seen shortly after birth or in childhood and may come and go. Yellow eyes are often the only symptom.

Signs & symptoms

GARD lists this among the most common symptoms:

  • Yellowing of the skin or eyes (jaundice)
  • Jaundice that comes and goes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How is Rotor syndrome told apart from other causes of jaundice?
Is genetic testing available?
Do any medicines need extra care with this condition?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

Rotor syndrome is autosomal recessive, so a child inherits a changed copy of a gene from each parent. GARD does not name a gene in this record.

GeneticGastrointestinalInherited Metabolic

Also known as: hblrr; hyperbilirubinemia type i; hyperbilirubinemia, rotor type; hyperbilirubinemia, rotor type, digenic

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Rotor syndromeGARD ID 218 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Rotor syndrome.

Explore the Rotor syndrome blog

Explore research for Rotor syndrome

Explore actively recruiting Rotor syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Rotor syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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