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Liver-kidney transplantation in primary hyperoxaluria type-1: case report and literature review.
[primary hyperoxaluria type 1]
Primary
hyperoxaluria
type
-
1
(
PH
1
)
is
a
rare
inherited
autosomal
recessive
disorder
in
which
a
deficiency
of
the
hepatic
enzyme
alanine-glyoxylate
aminotransferase
leads
to
endogenous
oxalate
overproduction
,
renal
failure
,
systemic
oxalate
deposition
and
death
.
As
hemodialysis
provides
insufficient
oxalate
clearance
,
patients
ultimately
require
both
liver
and
kidney
transplantation
for
correction
of
the
metabolic
abnormality
and
oxalate
excretion
.
Herein
,
we
describe
a
young
adult
male
with
end-
stage
renal
disease
and
systemic
oxalosis
causing
progressive
disabling
multi-organ
dysfunction
while
awaiting
transplantation
.
We
review
the
literature
regarding
liver
-kidney
transplantation
and
suggest
that
for
patients
with
PH
1
,
a
standardized
assessment
of
organ
dysfunction
and
functional
impairment
may
improve
identification
of
patients
requiring
urgent
transplantation
thereby
reducing
the
morbidity
and
mortality
that
can
occur
with
delayed
transplantation
.
Diseases
Validation
Diseases presenting
"suggest that for patients with ph1"
symptom
primary hyperoxaluria type 1
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