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Cartilage-hair Hypoplasia Complicated with Liver Cirrhosis Due to Chronic Intrahepatic Cholestasis
Taro Kogami1, Haruki Uojima1, Takasuke Ebato2
1Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan.
Insights
Cartilage-hair hypoplasia (CHH) can lead to biliary cirrhosis due to bile duct issues and altered gut bacteria. This rare complication highlights potential liver disease risks in CHH patients.
Area of Science:
- Hepatology
- Immunology
- Genetics
Background:
- Cartilage-hair hypoplasia (CHH) is a rare autosomal recessive disorder.
- CHH is associated with immunodeficiency, leading to recurrent infections.
- Liver complications are not commonly reported in CHH.
Abstract:
We herein report a rare case of cartilage-hair hypoplasia (CHH) complicated with liver cirrhosis. A 20-year-old Japanese man with CHH was found incidentally to have liver cirrhosis and an esophageal varix. This patient had been treated for infections due to immunodeficiency since early childhood. He ultimately died of liver failure at 31 years of age. An autopsy revealed an abnormality of the interlobular bile ducts and intrahepatic cholestasis. Liver cirrhosis was thought to have been caused by chronic intrahepatic cholestasis due to biliary duct hypoplasia and changes in the intestinal microbiome. Therefore, CHH may cause biliary cirrhosis due to multiple effects.
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