Rapid recurrence of nonalcoholic fatty liver disease after transplantation in a child with hypopituitarism and hepatopulmonary syndrome.
Nonalcoholic fatty liver disease (NAFLD) has been reported in adults with hypothalamic or pituitary dysfunction, and some have progressed to end stage liver disease requiring transplantation. We report a teenager who initially presented with hypoxia due to intrapulmonary shunting, found to have NAFLD and cirrhosis associated with a hypothalamic tumor and panhypopituitarism. The NAFLD recurred very quickly after a successful liver transplant. Hepatopulmonary syndrome may be more common in cirrhosis associated with pituitary dysfunction than in other types of cirrhosis.
Jonas
Maureen M
MM
Division of Gastroenterology, Department of Medicine, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. maureen.jonas@childrens.harvard.edu
Krawczuk
Laura E
LE
Kim
Heung Bae
HB
Lillehei
Craig
C
Perez-Atayde
Antonio
A
D000293:Adolescent; D005234:Fatty Liver / Q000150:complications* / Q000473:pathology*; D020065:Hepatopulmonary Syndrome / Q000150:complications*; D006801:Humans; D007018:Hypopituitarism / Q000150:complications*; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications / Q000473:pathology; D012008:Recurrence