An unusual occurrence of hepatic granulomas and secondary sitosterolemia in turner syndrome

Jayakrishna Chintanaboina, Pragnesh R. Shah, Thomas R. Riley

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Although abnormal liver function tests occur in 50-80% of cases with Turner syndrome, there are no previous reports of overt hepatic disease or hepatic granulomas associated with Turner's syndrome. We report three cases of Turner syndrome associated with hepatic granulomas with a wide range of liver dysfunction. Of the three patients, first patient underwent liver transplantation; second patient remained stable on immunosuppressants; and third patient died from complications of decompensated liver cirrhosis as she declined liver transplantation due to multiple comorbidities. One patient had sitosterolemia, a rare inherited autosomal recessive disorder of cholesterol metabolism, after she ingested β-sitosterol supplement and had worsening liver function tests and lipid panel. She had remarkably abnormal lipid panel that responded to ezetimibe and by stopping the β-sitosterol supplement.

Original languageEnglish (US)
Article number186718
JournalCase Reports in Medicine
Volume2015
DOIs
StatePublished - Jan 1 2015

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Turner Syndrome
Granuloma
Liver
Liver Function Tests
Liver Transplantation
Lipids
Immunosuppressive Agents
Liver Cirrhosis
Comorbidity
Liver Diseases
Cholesterol
Sitosterolemia

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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An unusual occurrence of hepatic granulomas and secondary sitosterolemia in turner syndrome. / Chintanaboina, Jayakrishna; Shah, Pragnesh R.; Riley, Thomas R.

In: Case Reports in Medicine, Vol. 2015, 186718, 01.01.2015.

Research output: Contribution to journalArticle

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