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American Academy of Pediatrics
Article

Rapid Improvement in the Renal Tubular Dysfunction Associated With Tyrosinemia Following Hepatic Replacement

Lawrence R. Shoemaker, C. Frederic Strife, William F. Balistreri and Frederick C. Ryckman
Pediatrics February 1992, 89 (2) 251-255;
Lawrence R. Shoemaker
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C. Frederic Strife
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William F. Balistreri
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Frederick C. Ryckman
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Abstract

The postoperative management of patients with hereditary tyrosinemia type I (McKusick 27670) following liver transplantation is often complicated by the renal tubular dysfunction associated with this disease. To characterize better the temporal course of the improvement in renal excretory activity following hepatic replacement, renal tubular function and metabolite excretion were studied in a 4-year-old girl with hereditary tyrosinemia during the immediate post-transplantation course. Tubular reabsorption of bicarbonate and phosphate were normal 5 days following transplantation, in contrast to glucosuria, hyperaminoaciduria, and tyrosyluria, which persisted for approximately 3 weeks. After hepatic replacement, serum amino acid concentrations returned to normal and succinylacetone was no longer detected in the urine. This is the third tyrosinemia patient reported to achieve complete resolution of urinary abnormalities following transplantation, and the only patient in whom renal tubular function was formally assessed within the first postoperative week.

  • tyrosinemia
  • liver transplantation
  • renal tubular dysfunction
  • Received November 12, 1990.
  • Accepted April 12, 1991.
  • Copyright © 1992 by the American Academy of Pediatrics

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Pediatrics
Vol. 89, Issue 2
1 Feb 1992
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Rapid Improvement in the Renal Tubular Dysfunction Associated With Tyrosinemia Following Hepatic Replacement
Lawrence R. Shoemaker, C. Frederic Strife, William F. Balistreri, Frederick C. Ryckman
Pediatrics Feb 1992, 89 (2) 251-255;

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Rapid Improvement in the Renal Tubular Dysfunction Associated With Tyrosinemia Following Hepatic Replacement
Lawrence R. Shoemaker, C. Frederic Strife, William F. Balistreri, Frederick C. Ryckman
Pediatrics Feb 1992, 89 (2) 251-255;
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