Table 1.
Disorders that can be cured by LT | Organs/systems to be monitored after LT |
---|---|
Tyrosinemia type I | Kidney |
Wilson disease | CNS** |
Alpha 1 antitripsin deficiency | Lung |
Acute intermittent porphyria (AIP) | Kidney |
Maple syrup urine disease (MSUD) | CNS** |
Urea cycle disorders (UCD) | CNS** |
Ornithine transcarbamylase deficiency (OTC) | |
Citrullinemia | |
Carbamoyl phosphate synthetase I deficiency (CPSI) | |
Argininosuccinate lyase deficiency | |
Argininemia | |
Glycogen storage disease (GSD) Type Ia, Ib, III and IV |
Kidney, Blood/Bone marrow (type Ib), GI tract (type Ib) |
Crigler-Najjar syndrome | CNS** |
Primary hyperoxaluria | Kidney |
Progressive familial intrahepatic cholestasis (PFIC) | Liver, GI tract |
Disorders with continuous significant metabolic derangement after LT* | |
Familial hypercholesterolemia | Heart |
Erythropoietic protoporphyria (EPP) | Liver |
Organic acidemia | CNS**, Kidney, Heart |
Methylmalonic acidemia (MMA) | |
Propionic acidemia (PA) | |
Mitochondrial disorders | CNS**, Kidney, Heart |
General consideration of the requirement of post LT metabolic management by IEM specialists. Metabolic outcome of each patient varies and specific management plans including monitoring of metabolites and the frequency of follow up are at each IEM provider's discretion.
CNS: central nervous system
For patients who had neurological symptoms before transplant.