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Clinical and biochemical footprints of inherited metabolic diseases. II. Metabolic liver diseases

Journal

MOLECULAR GENETICS AND METABOLISM
Volume 127, Issue 2, Pages 117-121

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ymgme.2019.04.002

Keywords

Metabolic liver disease; Inborn errors of metabolism; Inherited metabolic diseases; Hepatomegaly; Cholestasis; Steatosis; Fatty liver; Cirrhosis; Elevated liver enzymes; Acute liver failure; Hepatocellular carcinoma; Hepatic adenomas

Funding

  1. Intramural NIH HHS [Z99 HG999999] Funding Source: Medline

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Inherited metabolic diseases account for about one third of pediatric patients with hepatomegaly, acute liver failure, cirrhosis or cholestasis. Specifically for pediatric acute liver failure, they account for 10-15% of cases, with a mortality of 22-65%. The percentage of acute liver failure caused by an inherited metabolic disease in children < 2-3 years of age is even higher, ranging from a third to half of all cases. Metabolic liver disease accounts for 8-13% of all pediatric liver transplantations. Despite this high burden of disease, underdiagnosis remains common. We reviewed and updated the list of known metabolic etiologies associated with various types of metabolic liver involvement, and found 142 relevant inborn errors of metabolism. This represents the second of a series of articles attempting to create and maintain a comprehensive list of clinical and metabolic differential diagnoses according to system involvement.

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