Table 3.
Ref.
|
|
Age at onset of symptom
|
Age at initial evaluation
|
Symptoms
|
Treatment
|
Lab parameters
|
Outcome
|
||
GGT (IU/L)
|
AST (IU/L)
|
ALT (IU/L)
|
|||||||
Qiu et al[20], 2017 | n = 10, M-8, F-2, 4 had affected siblings | 2 d-19 mo | 1 mo-10 yr | Jaundice and pruritus; No diarrhea | UDCA, cholestyramine | 9-99 | 24-255 | 41-432 | Recurrent-3, persistent-2, transient cholestasis-2, lost to follow-3, listed for LT -1 (died) |
Cockar et al[19], 2020 | n = 6, M-3, F-3 | - | 6 mo-15 yr | Pruritus with pale stools-6, Jaundice-3; FTT-3; Diarrhea-2, (intractable and settled at 3 yr and 7 yr), gallstone-1 | Antipruritic medications-6; PIBD-1; PIBD followed by PEBD-1; ENBD followed by PEBD-1 | 10-22 | - | 15-177 | 1-LT for poor QOL and pruritus; 5-Partial response with mild pruritus while on medications |
Gonzales et al[8], 2017 | n = 5, M-4, F-1 | - | 7-15 mo | Pruritus-5; Jaundice-5; Pale stools-5 hepatomegaly-5; Language delay-1 episodes of severe diarrhea before 3 yr of age-1 | UDCA and rifampicin-5; PEBD-1 | 7-11 | 31-170 | 57-207 | Followed till 3.5-13.5 yr of age; Fluctuating cholestasis-4; Cholestasis resolved after 1 mo of PEBD, well till 7 yr of age |
Girard et al[17], 2014 | n = 8/28 MVID, patients with cholestasis M-5, F-3 | 3-60 mo | Jaundice, pruritus, hepatomegaly-8; Pre Int Tx-5, post Int Tx-3 | Antipruritic medications-8; PIBD followed by PEBD-1; PIBD-1; PEBD-1; Combined liver and Int Tx-1 | 8-42 | 51-124 | 52-121 | Follow up till 2.8-14 yr of age, remission-6, partial remission-2; Removal of small bowel graft due to acute rejection in 2 cases improved cholestasis |
AST: Aspartate aminotransferase; ALT: Alanine aminotransferase; ENBD: Endonasal biliary drainage; F: Female; FTT: Failure to thrive; GGT: Gamma glutamyl transferase; Int Tx: Intestinal transplant; LT: Liver transplantation; M: Male; MVID: Microvillus inclusion disease; PEBD: Partial external biliary drainage; PIBD: Partial internal biliary drainage; QOL: Quality of life; UDCA: Ursodeoxycholic acid.