Progression of liver disease in children and adults with lysosomal acid lipase deficiency

Barbara K Burton*, Nancy Silliman, Sachin Marulkar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Background and objective: Manifestations of the autosomal recessive disorder lysosomal acid lipase deficiency (LAL-D) include hepatomegaly, elevated serum liver enzymes, and progressive liver disease. We report an analysis of time to progression from first clinical manifestation to first documentation of hepatic fibrosis, cirrhosis, or liver transplantation from an observational study of pediatric and adult patients with LAL-D (clinical trial registration: NCT01528917). Methods: Data were analyzed from 31 patients with available biopsy data and 1 patient without biopsy data who had undergone liver transplantation. Time to first documentation of fibrosis, cirrhosis, or liver transplantation following the first LAL-D clinical manifestation was estimated using Kaplan–Meier analysis. Results: The median time to an event was 3.1 years. Conclusions: These findings illustrate the progression of liver damage in LAL-D and the elevated risk for liver transplantation among children and adults with LAL-D.

Original languageEnglish (US)
Pages (from-to)1211-1214
Number of pages4
JournalCurrent Medical Research and Opinion
Issue number7
StatePublished - Jul 3 2017


  • Cirrhosis
  • Dyslipidemia
  • Fibrosis
  • Liver transplantation

ASJC Scopus subject areas

  • Medicine(all)


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