Liver hepatoblastoma and multiple OXPHOS deficiency in the follow-up of a patient with methylmalonic aciduria

被引:29
作者
Cosson, M. A. [1 ]
Touati, G. [1 ]
Lacaille, F.
Valayannnopoulos, V. [1 ]
Guyot, C. [4 ,5 ]
Guest, G.
Verkarre, V. [1 ]
Chretien, D. [2 ]
Rabier, D. [3 ]
Munnich, A. [2 ]
Benoist, J. F. [4 ]
de Keyzer, Y. [2 ]
Niaudet, P.
de Lonlay, P. [1 ,2 ]
机构
[1] Univ Paris 05, Necker Enfants Malad Hosp, Reference Ctr, Metab unit, F-75009 Paris, France
[2] Univ Paris 05, Necker Enfants Malad Hosp, INSERM, U781, F-75015 Paris, France
[3] Univ Paris 05, Necker Enfants Malad Hosp, Biochem Unit, F-75015 Paris, France
[4] Robert Debre Hosp, Biochem Unit, F-7509 Paris, France
[5] Mere Enfant Hosp, Nephrol GC, F-44093 Nantes, France
关键词
methylmalonic aciduria; liver hepatoblastoma; respiratory chain deficiency; kidney transplantation;
D O I
10.1016/j.ymgme.2008.06.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A boy who was diagnosed with methylmalonic aciduria (MMA) at the age of 10 days developed persistent hepatomegaly and raised transaminases from the age of 4 years. He was subsequently diagnosed with Leigh syndrome and required a kidney transplantation for end-stage renal failure. A massive hepatoblastoma led to his death by the age of 11 years. Methylmalonyl-CoA mutase activity was undetectable on both cultured skin fibroblasts and kidney biopsy and multiple respiratory chain deficiency was demonstrated in the kidney. Mitochondrial dysfunction and/or post-transplant immunosuppressive therapy should be considered as a possible cause of liver cancer in this patient. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:107 / 109
页数:3
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