Living-related liver transplantation for methylmalonic acidemia: report of one case.
Methylmalonic acidemia (MMA) is an autosomal recessive disease of branched chain amino acid metabolism. The disease can be classified as vitamin B12-responsive or nonresponsive type. For the nonresponsive type, there is no curative treatment, and its prognosis is usually poor. We report one case that had vitamin B12-nonresponsive type MMA diagnosed at 3 days of age. The patient received liver transplantation at the age of 11 months. Continuous venovenous hemodialysis was performed immediately pre- and post-transplantation. The attack frequency of metabolic acidosis episodes decreased and the general condition of this patient improved after liver transplantation. So, although not curative, liver transplantation is an effective management for MMA.
Hsui
Jui-Yu
JY
Department of Pediatrics, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan.
Chien
Yin-Hsiu
YH
Chu
Shao-Yin
SY
Lu
Frank Leigh
FL
Chen
Huey-Ling
HL
Ho
Ming-Je
MJ
Lee
Po-Huang
PH
Hwu
Wuh-Liang
WL
D000592:Amino Acid Metabolism, Inborn Errors / Q000628:therapy; D005260:Female; D006801:Humans; D007223:Infant; D016031:Liver Transplantation; D019520:Living Donors; D008764:Methylmalonic Acid / Q000097:blood*
D008764:Methylmalonic Acid