Liver cirrhosis treated by living donor liver transplantation in a patient with AGL mutation c.2607-2610delATTC and c.1672dupA

Clin Chim Acta. 2013 Sep 23:424:19-21. doi: 10.1016/j.cca.2013.05.007. Epub 2013 May 13.

Abstract

Glycogen storage disease type III (GSD III) is an inherited disorder characterized by the accumulation of abnormal glycogen in the liver. Hepatic manifestations were considered as improving with age; however, patients live longer and liver cirrhosis is being recognized. We report a patient of GSD IIIa with liver cirrhosis, which was treated successfully by living donor liver transplantation. The patient proved to be a compound heterozygote for a novel small deletion c.2607-2610delATTC and a known duplication c.1672dupA in AGL, a gene coding glycogen debranching enzyme responsible for GSD III. Molecular diagnosis helped clinical decision-making.

Keywords: AGL; Glycogen storage disease type III; Liver cirrhosis; Living donor liver transplantation; Mutation.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Glycogen Storage Disease Type III / complications
  • Glycogen Storage Disease Type III / diagnosis
  • Glycogen Storage Disease Type III / genetics
  • Glycogen Storage Disease Type III / therapy*
  • Heterozygote
  • Humans
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / diagnosis
  • Liver Cirrhosis / genetics
  • Liver Cirrhosis / therapy*
  • Liver Transplantation*
  • Living Donors
  • Male
  • Mutation*
  • Treatment Outcome
  • Young Adult
  • alpha-Glucosidases / deficiency
  • alpha-Glucosidases / genetics*

Substances

  • alpha-Glucosidases

Supplementary concepts

  • Glycogen Storage Disease IIIA