1. Neonatal Liver Failure and Congenital Cirrhosis due to Gestational Alloimmune Liver Disease: A Case Report and Literature Review
- Author
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Carlos Thadeu Schmidt Cerski, Carolina Roos Mariano da Rocha, Carlos Oscar Kieling, Renata Rostirola Guedes, Marina Rossato Adami, and Sandra Maria Gonçalves Vieira
- Subjects
Pediatrics ,medicine.medical_specialty ,Cirrhosis ,Case Report ,Disease ,Gestational alloimmune liver disease ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Neonatal hemochromatosis ,medicine ,business.industry ,lcsh:RJ1-570 ,Liver failure ,lcsh:Pediatrics ,General Medicine ,Recém-nascido ,medicine.disease ,Surgery ,Late diagnosis ,Etiology ,030211 gastroenterology & hepatology ,Falência hepática ,business ,Hemocromatose ,FETAL SIGNS - Abstract
Neonatal liver failure (NLF) is a major cause of neonatal morbidity and mortality, presenting as acute liver failure and/or congenital cirrhosis. Many affected patients show antenatal signs of fetal injury. There are several causes of NLF and early diagnosis is mandatory to elucidate the etiology and determine a specific treatment or the best management strategy. Gestational alloimmune liver disease associated with neonatal hemochromatosis (GALD-NH) is a rare but potentially treatable cause of NLF. It should be considered in any neonate with fetal signs of disease and postnatal signs of liver failure with no other identifiable causes. GALD-NH is often diagnosed late and patients are therefore referred late to specialized centers, delaying treatment. This case highlights the consequences of late diagnosis and treatment of GALD-NH and emphasizes the importance of a high grade of suspicion of this disease in order to refer the patient to a specialized center soon enough to perform the appropriate treatment. more...
- Published
- 2017
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