Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome

McCune-Albright syndrome (MAS) is a rare genetic disorder characterized by café-au-lait macules, polyostotic fibrous dysplasia and multiple endocrinopathies. Liver involvement, although described, is a rare complication. We review the case of a child with MAS whose initial presentation was character...

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Main Authors: Nicole Coles, Ian Comeau, Tatiana Munoz, Jennifer Harrington, Roberto Mendoza-Londono, Andreas Schulze, Sari Kives, Binita M. Kamath, Jill Hamilton
Format: Article
Language:English
Published: Galenos Yayincilik 2019-03-01
Series:JCRPE
Subjects:
Online Access: http://www.jcrpe.org/archives/archive-detail/article-preview/severe-neonatal-cholestasis-as-an-early-presentati/19093
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author Nicole Coles
Ian Comeau
Tatiana Munoz
Jennifer Harrington
Roberto Mendoza-Londono
Andreas Schulze
Sari Kives
Binita M. Kamath
Jill Hamilton
author_facet Nicole Coles
Ian Comeau
Tatiana Munoz
Jennifer Harrington
Roberto Mendoza-Londono
Andreas Schulze
Sari Kives
Binita M. Kamath
Jill Hamilton
author_sort Nicole Coles
collection DOAJ
description McCune-Albright syndrome (MAS) is a rare genetic disorder characterized by café-au-lait macules, polyostotic fibrous dysplasia and multiple endocrinopathies. Liver involvement, although described, is a rare complication. We review the case of a child with MAS whose initial presentation was characterized by severe neonatal cholestasis. The case demonstrates a severe phenotype of persistent cholestasis in MAS requiring liver transplantation. This phenotype has been previously considered to be a more benign feature. This case highlights the importance of consideration of MAS as an uncommon but important cause of neonatal cholestasis. Early diagnosis may allow for prompt recognition and treatment of other endocrinopathies.
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spelling doaj.art-0826887a26e6406ba18ce3e69deaa8af2023-02-15T16:18:44ZengGalenos YayincilikJCRPE1308-57271308-57352019-03-0111110010310.4274/jcrpe.galenos.2018.2018.011013049054Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright SyndromeNicole Coles0Ian Comeau1Tatiana Munoz2Jennifer Harrington3Roberto Mendoza-Londono4Andreas Schulze5Sari Kives6Binita M. Kamath7Jill Hamilton8 University of Toronto, Hospital for Sick Children, Clinic of Endocrinology, Toronto, Canada Montreal Children’s Hospital, Clinic of Adolescent Medicine and Paediatric Gynaecology, Montreal, Canada University of Toronto, Hospital for Sick Children, Clinic of Clinical and Metabolic Genetics, Toronto, Canada University of Toronto, Hospital for Sick Children, Clinic of Endocrinology, Toronto, Canada University of Toronto, Hospital for Sick Children, Clinic of Clinical and Metabolic Genetics, Toronto, Canada University of Toronto, Hospital for Sick Children, Clinic of Clinical and Metabolic Genetics, Toronto, Canada University of Toronto, Hospital for Sick Children, Clinic of Paediatric Gynaecology, Toronto, Canada University of Toronto, Hospital for Sick Children, Clinic of Gastroenterology, Hepatology and Nutrition, Toronto, Canada University of Toronto, Hospital for Sick Children, Clinic of Endocrinology, Toronto, Canada McCune-Albright syndrome (MAS) is a rare genetic disorder characterized by café-au-lait macules, polyostotic fibrous dysplasia and multiple endocrinopathies. Liver involvement, although described, is a rare complication. We review the case of a child with MAS whose initial presentation was characterized by severe neonatal cholestasis. The case demonstrates a severe phenotype of persistent cholestasis in MAS requiring liver transplantation. This phenotype has been previously considered to be a more benign feature. This case highlights the importance of consideration of MAS as an uncommon but important cause of neonatal cholestasis. Early diagnosis may allow for prompt recognition and treatment of other endocrinopathies. http://www.jcrpe.org/archives/archive-detail/article-preview/severe-neonatal-cholestasis-as-an-early-presentati/19093 McCune-Albright syndromeneonatal cholestasisprecocious puberty
spellingShingle Nicole Coles
Ian Comeau
Tatiana Munoz
Jennifer Harrington
Roberto Mendoza-Londono
Andreas Schulze
Sari Kives
Binita M. Kamath
Jill Hamilton
Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome
JCRPE
McCune-Albright syndrome
neonatal cholestasis
precocious puberty
title Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome
title_full Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome
title_fullStr Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome
title_full_unstemmed Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome
title_short Severe Neonatal Cholestasis as an Early Presentation of McCune- Albright Syndrome
title_sort severe neonatal cholestasis as an early presentation of mccune albright syndrome
topic McCune-Albright syndrome
neonatal cholestasis
precocious puberty
url http://www.jcrpe.org/archives/archive-detail/article-preview/severe-neonatal-cholestasis-as-an-early-presentati/19093
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