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KMID : 0357920040380010056
Korean Journal of Pathology
2004 Volume.38 No. 1 p.56 ~ p.59
Alagille Syndrome - A Case Report -
Shim Hyo-Sup

Park Chan-Il
Kim Soon-Il
Park Young-Nyun
Abstract
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.
KEYWORD
Alagille Syndrome, Intrahepatic Bile Duct, Heart Disease
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