KMID : 0357920040380010056
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Korean Journal of Pathology 2004 Volume.38 No. 1 p.56 ~ p.59
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Alagille Syndrome - A Case Report -
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Shim Hyo-Sup
Park Chan-Il Kim Soon-Il Park Young-Nyun
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Abstract
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Alagille syndrome is a rare autosomal dominant disorder showing complicated systemic manifestations, although the hepatic manifestations are predominant in many patients. We report a case of Alagille syndrome in a male baby who presented with a heart murmur at 2 days old and his echocardiography showed aortic stenosis. He presented with acholic stool and jaundice at 3 months old and a liver biopsy revealed paucity of the interlobular bile duct in the portal tract. This progressed to cirrhosis, for which a liver transplantation was performed at 10 months old. The explanted liver showed biliary-type cirrhosis with severe cholestasis. There was an absence of the interlobular bile ducts on microscopic examination. Bile duct paucity, associated with cholestasis, a peculiar face (prominent forehead, deep-set eyes, pointed mandible and bulbous nasal tip), and cardiac anomaly were observed, which were consistent with Alagille syndrome. He died of heart failure.
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KEYWORD
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Alagille Syndrome, Intrahepatic Bile Duct, Heart Disease
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