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Domino liver transplantation for familial amyloid polyneuropathy

✍ Scribed by Hemming, Alan W. ;Cattral, Mark S. ;Chari, Ravi S. ;Greig, Paul D. ;Lilly, Leslie B. ;Ashby, Peter ;Levy, Gary A.


Publisher
Wiley (John Wiley & Sons)
Year
1998
Tongue
English
Weight
64 KB
Volume
4
Category
Article
ISSN
1074-3022

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✦ Synopsis


Familial amyloid polyneuropathy is an autosomal dominant disorder in which the liver produces a variant prealbumin that is deposited along nerves, leading to a progressive and fatal polyneuropathy that begins in the third decade of life. Liver transplantation has been the only successful treatment to date. Apart from the production of the variant protein, there are no other abnormalities in these amyloid livers. We describe two cases in which, at the time of transplantation, the amyloid livers were subsequently used for transplantation in another patient, and we discuss the implications.


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