Wolman's Disease: A Rare Cause of Infantile Cholestasis and Cirrhosis.

Wolman's disease adrenal calcification cirrhosis infantile cholestasis

Journal

Journal of pediatric genetics
ISSN: 2146-4596
Titre abrégé: J Pediatr Genet
Pays: Germany
ID NLM: 101589859

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 25 05 2020
accepted: 20 06 2020
entrez: 30 6 2022
pubmed: 20 8 2020
medline: 20 8 2020
Statut: epublish

Résumé

Liver cirrhosis in infancy can be secondary to various etiologies such as biliary atresia, familial cholestatic and metabolic disorders. Wolman's disease (WD) is a lysosomal storage disorder caused by the absence of lysosomal acid lipase enzyme activity and a significant association with infantile cholestasis and cirrhosis. We encountered an infant presenting with advanced cirrhosis and decompensation having splenomegaly for which the underlying etiology was found to be WD and the diagnostic clue came from abdominal X-ray showing bilateral adrenal calcifications. The diagnosis was confirmed by genetic analysis. The outcome was poor and died before 6 months of age without enzyme replacement therapy or hematopoietic stem cell transplantation.

Identifiants

pubmed: 35769959
doi: 10.1055/s-0040-1715119
pii: 2000079
pmc: PMC9236733
doi:

Types de publication

Case Reports

Langues

eng

Pagination

132-134

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of Interest None declared.

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Auteurs

Jagadeesh Menon (J)

Department of Pediatric Gastroenterology and Hepatology, Dr. Rela Institute & Medical Center, Bharat Institute of Higher Education and Research, Chennai, India.

Naresh Shanmugam (N)

Department of Pediatric Gastroenterology and Hepatology, Dr. Rela Institute & Medical Center, Bharat Institute of Higher Education and Research, Chennai, India.

Sripriya Srinivas (S)

Department of Radiology and Imaging, Dr. Rela Institute & Medical Center, Bharat Institute of Higher Education and Research, Chennai, India.

Mukul Vij (M)

Department of Histopathology, Dr. Rela Institute & Medical Center, Bharat Institute of Higher Education and Research, Chennai, India.

Anil Jalan (A)

Department of Pediatric Genetics, NIRMAN, Mumbai, India.

Mettu Srinivas Reddy (M)

Department of Hepatobiliary Surgery and Liver Transplantation, Dr. Rela Institute & Medical Center, Bharat Institute of Higher Education and Research, Chennai, India.

Mohamed Rela (M)

Department of Hepatobiliary Surgery and Liver Transplantation, Dr. Rela Institute & Medical Center, Bharat Institute of Higher Education and Research, Chennai, India.
Liver Transplant Unit, King's College Hospital, London, United Kingdom.

Classifications MeSH