Youngest Living Donor Liver Transplant for End‐Stage Liver Disease in a 6‐Month‐Old With a Novel Aggressive Mutation in KIF12 Gene

Author:

Gautam Vipul1ORCID,Panda Kalpana2ORCID,Kumar Vikram1ORCID,Agarwal Shaleen3ORCID,Gupta Subhash3ORCID

Affiliation:

1. Department of Pediatric Hepatology, Centre for Liver and Biliary Sciences Max Super Speciality Hospital New Delhi India

2. Pediatric Hepatology Division Institute of Medical Sciences & SUM Hospital Bhubaneswar India

3. Department of Liver Transplant Surgery, Centre for Liver and Biliary Sciences Max Super Speciality Hospital New Delhi India

Abstract

ABSTRACTBackgroundKinesin family member 12 (KIF12) mutation‐related cholestatic disorder represents a rare subtype of progressive familial intrahepatic cholestasis (PFIC), referred to as PFIC Type 8, with only 21 reported cases globally to date.MethodsHere, we present a unique case of a 6‐month‐old boy diagnosed with homozygous KIF12 gene mutation, who successfully underwent a living donor liver transplant at our center for end‐stage liver disease.ResultsThis case marks the youngest patient of KIF12‐related cholestatic disorder necessitating a liver transplant to date. The child initially presented with neonatal cholestasis and then developed infantile hepatic decompensation. Our report discusses the diagnostic process and management strategies employed. It underscores the importance of prompt diagnosis through clinical suspicion, biochemical parameters, and genetic testing, as well as the adoption of suitable management strategies, including the early contemplation of liver transplant in such exceptional and rare cases of genetic intrahepatic cholestasis.ConclusionKIF12‐related genetic disease should be considered in neonatal cholestasis cases with high gamma glutamyl transpeptidase to differentiate from conditions like biliary atresia. Favorable outcomes post liver transplant stress the importance of early genetic testing and referral to liver transplant centers for unresponsive patients, potentially saving lives.

Publisher

Wiley

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