Wolman Disease and Liver Transplantation: Case Report
Keywords:
Wolman disease, liver transplantation, enzyme replacement therapy.Abstract
Wolman disease (WD) is an autosomal recessive lysosomal storage disorder, caused by a deficiency of lysosomal acid lipase. Affected infants usually develop abdominal distension, hepatosplenomegaly, steatorrhea, severe malabsorption and malnutrition, and adrenal calcification. Despite treatment attempts, the clinical outcome is poor. We report a case of a 4-month-old girl with WD, presented with a rapidly progressive liver failure and a liver transplantation was performed. The graft was retrieved from her mother. The postoperative period was uneventful. The child was in a satisfactory condition about 8 weeks after surgery and the enzyme replacement therapy (ERT) was started. During the treatment weight loss and vomiting persisted and a diarrhea started. Patient died due to severe respiratory failure seven weeks after starting ERT.
References
. S. Jones, V. Valayannopoulos, E. Schneider, S. Eckert, M. Banikazemi, M. Bialer et al.
. R. Desnick, E. Schuchman
. V. Valayannopoulos, V. Malinova, T. Honz
. A. Yanir, M. Allatif, M. Weintraub, P. Stepensky
. B. Burton, N. Silliman, S. Marulkar
. J. Arterburn, W. Lee, R. Wood, B. Shaw, R. Markin
. G. Ferry, H. Whisennand, M. Finegold, E. Alpert, A. Glombicki
. L. Leone, P. Ippoliti, R. Antonicelli, F. Balli, B. Gridelli
. G. Ambler, M. Hoare, R. Brais, A. Shaw, A. Butler, P. Flynn, et al.
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