Living-related liver transplantation for neonatal-onset propionic acidemia.
We report a child with neonatal-onset propionic acidemia treated with living-related liver transplantation. Despite minimal improvement in the levels of circulating propionyl CoA metabolites, hyperammonemia was corrected, and no episode of metabolic decompensation was experienced after the transplantation was performed. Natural protein intake could be increased from 0.5 g/kg per day to 2 g/kg per day. Anemia was corrected, and the growth rate and mental development improved significantly.
Yorifuji
T
T
Department of Pediatrics, Kyoto University Hospital, Shogoin Sakyo, Kyoto, Japan.
Muroi
J
J
Uematsu
A
A
Nakahata
T
T
Egawa
H
H
Tanaka
K
K
D002262:Carboxy-Lyases / Q000172:deficiency*; D005260:Female; D006801:Humans; D007223:Infant; D016031:Liver Transplantation; D008659:Metabolic Diseases / Q000601:surgery*; D043586:Methylmalonyl-CoA Decarboxylase; D011422:Propionates / Q000097:blood*; D000254:Sodium-Potassium-Exchanging ATPase
D011422:Propionates; D002262:Carboxy-Lyases; D000254:Sodium-Potassium-Exchanging ATPase; D043586:Methylmalonyl-CoA Decarboxylase; C029658:propionic acid