Skip to main content
Log in

Imaging features of type 1 hereditary tyrosinemia: a review of 30 patients

  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Hereditary tyrosinemia type 1, a common genetic disorder in the province of Quebec, is characterized by a deficiency of fumarylacetoacetate hydrolase. In this autosomal recessive disorder of tyrosine metabolism, the accumulation of succinyiacetone leads to neurologic crises, acute and chronic liver failure, complex renal tubulopathy, rickets and a hemorrhagic syndrome. Liver transplantation has dramatically modified the spontaneous course of this lethal disease. The present paper describes the imaging features of tyrosinemia in 30 patients followed from 1980 to 1995 at Hôpital Sainte-Justine, Montreal, Canada.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Phaneuf D, Labelle Y, Bérubé D, Arden K, Cavenee W, Gagné R, Tanquay RM (1991) Cloning and expression of the cDNA encoding human fumarylacetoacetate hydrolase, the enzyme deficient in hereditary tyrosinemia: assignment of the gene to chromosome 15. Am J Hum Genet 48: 525–535

    CAS  PubMed  Google Scholar 

  2. Labelle Y, Phaneuf D, Leclerc B, Tan-quay RM (1993) Characterization of the human fumarylacetoacetate hydrolase gene and identification of a missense mutation abolishing enzymatic activity. Hum Mol Genet 2: 941–946

    Article  CAS  PubMed  Google Scholar 

  3. St-Louis M, Leclerc B, Laine J, Salo MK, Holmberg C, Tanquay RM (1994) Identification of a stop mutation in five Finnish patients suffering from hereditary tyrosinemia type 1. Hum Mol Genet 3: 69–72

    Article  CAS  PubMed  Google Scholar 

  4. De Braekeleer M, Larochelle J (1990) Genetic epidemiology of hereditary tyrosinemia in Québec and in Saguenay-Lac-St-Jean. Am J Hum Genet 47: 302–307

    PubMed  Google Scholar 

  5. Paradis K, Weber A, Seidman EG et al (1990) Liver transplantation for hereditary tyrosinemia: the Quebec experience. Am J Hum Genet 47: 338–342

    CAS  PubMed  Google Scholar 

  6. Weinberg AG, Mize CE, Worthen HG (1976) The occurrence of hepatoma in the chronic form of hereditary tyrosinemia. J Pediatr 88: 434–438

    Article  CAS  PubMed  Google Scholar 

  7. Starzl TE, Zitelli BJ, Shaw BW Jr, et al (1985) Changing concepts: liver replacement for hereditary tyrosinemia and hepatoma. J Pediatr 110: 339–403

    Google Scholar 

  8. Larochelle J, Mortezai A, Bélanger M, et al (1967) Experience with 37 infants with tyrosinemia. Can Med Assoc J 97: 1051–1056

    CAS  PubMed  Google Scholar 

  9. Day DL, Létourneau JG, Bradford TA, et al (1987) Hepatic regeneration nodules in hereditary tyrosinemia. AJR 149: 391–393

    CAS  PubMed  Google Scholar 

  10. Mieles LA, Esquivel CO, Vanthiel DH, Koneru B, Makonka L, Tzakis AG, Starzl TE (1990) Liver transplantation for tyrosinemia. A review of 10 cases from the University of Pittsburgh. Dig Dis Sci 35:153–157

    Article  CAS  PubMed  Google Scholar 

  11. Freese KD, Tuchman M, Schwarzenberg SJ, Sharp HL, Rank JM, Bloomer JR, Ascher NL, Payne ND (1991) Early liver transplantation is indicated for tyrosinemia type 1. J Pediatr Gastroenterol Nutr 13:10–15

    CAS  PubMed  Google Scholar 

  12. Mitchell G, Larochelle J, Lambert M, et al (1990) Neurologic crises in hereditary tyrosinemia. N Engl J Med 332: 432–437

    Article  Google Scholar 

  13. Kvittigen EA (1986) Hereditary tyrosinemia type 1: an overview. Scand J Clin Lab Invest 46:27–34

    Article  Google Scholar 

  14. Haagen AAM, Duran M (1987) Absence of increase succinylacetone in the urine of a child with hereditary tyrosinemia type 1. J Inherit Me tab Dis 10 (Suppl 2): 323–325

    Article  Google Scholar 

  15. Vanthiel DH, Gartner LM, Thorp FK, et al (1986) Resolution of the clinical features of tyrosinemia following orthotopic liver transplantation for hepatoma. J Hepatol 3:42–48

    Article  CAS  Google Scholar 

  16. Flatmark A, Bergan A, Sodal I, et al (1985) Does liver transplantation correct the metabolic defect in hereditary tyrosinemia? Transplant Proc 18: 67–68

    Google Scholar 

  17. Perry TL (1967) Tyrosinemia associated with hypermethioninemia and’ islet cell hyperplasia. Can Med Assoc J 97:1067–1072

    CAS  PubMed  Google Scholar 

  18. Linberg J, Nilsson KD, Jeppsson JO (1979) Hereditary tyrosinemia and diabetes mellitus. Acta Paediatr Scand 68: 619–620

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dubois, J., Garel, L., Patriquin, H. et al. Imaging features of type 1 hereditary tyrosinemia: a review of 30 patients. Pediatr Radiol 26, 845–851 (1996). https://doi.org/10.1007/BF03178035

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03178035

Keywords

Navigation