Neuroblastoma amplified sequence gene mutation: A rare cause of recurrent liver failure in children

Saudi J Gastroenterol. 2017 May-Jun;23(3):206-208. doi: 10.4103/1319-3767.207714.

Abstract

Neuroblastoma amplified sequence (NBAS) gene mutation or infantile liver failure syndrome type 2 (ILFS type 2) is an extremely rare disease characterized by episodic liver failure precipitated by intercurrent febrile illness, and liver function recovering completely. Here, we report a 4-year-old girl with recurrent hepatitis. A diagnosis of ILFS type 2 was made based on NBAS mutation gene found by whole-exome sequencing. Our case provides a new insight toward considering NBAS mutation as a part of the differential diagnoses of any infant presenting with recurrent liver failure or hepatitis. We recommend sequencing NBAS in cases of recurrent hepatitis in infancy of unknown cause, especially in individuals with fever-associated hepatic dysfunction.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Diagnosis, Differential
  • Exome Sequencing / methods
  • Female
  • Hepatitis / diagnosis*
  • Hepatitis / genetics*
  • Humans
  • Liver Failure / diagnosis*
  • Liver Failure / genetics*
  • Liver Failure / pathology
  • Mutation*
  • Neoplasm Proteins / deficiency
  • Neoplasm Proteins / genetics*
  • Rare Diseases
  • Recurrence

Substances

  • NBAS protein, human
  • Neoplasm Proteins