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Review
. 2019 Jun;127(2):117-121.
doi: 10.1016/j.ymgme.2019.04.002. Epub 2019 Apr 12.

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

Carlos R Ferreira  1 , David Cassiman  2 , Nenad Blau  3
Affiliations
Review

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

Carlos R Ferreira et al. Mol Genet Metab. 2019 Jun.

Abstract

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.

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

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Conflict of interest statement

Declarations of interest: none

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