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Review

Pediatric Perspectives on Liver Cirrhosis: Unravelling Clinical Patterns and Therapeutic Challenges

by
Lorenza Forna
1,2,
Laura Bozomitu
1,2,*,
Vasile Valeriu Lupu
1,2,
Ancuta Lupu
1,2,
Laura Mihaela Trandafir
1,2,
Anca Adam Raileanu
1,2,
Camelia Cojocariu
2,3,
Carmen Anton
2,3,
Irina Girleanu
2,3 and
Cristina Maria Muzica
2,3
1
Pediatrics—“Sf. Maria” Clinical Emergency Children’s Hospital, 700309 Iași, Romania
2
Faculty of General Medicine, University of Medicine and Pharmacy “Gr. T. Popa”, 700115 Iași, Romania
3
Department of Clinical Gastroenterology, “Sf. Spiridon” Clinical Emergency Hospital, 700111 Iași, Romania
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(14), 4275; https://doi.org/10.3390/jcm13144275 (registering DOI)
Submission received: 28 April 2024 / Revised: 1 July 2024 / Accepted: 19 July 2024 / Published: 22 July 2024
(This article belongs to the Special Issue Updates in Liver Cirrhosis)

Abstract

Background: Liver cirrhosis presents significant challenges in the pediatric population due to a complex interplay of etiological factors, clinical manifestations, and limited therapeutic options. The leading contributors to cirrhosis among pediatric patients are chronic cholestasis, metabolic disorders present from birth, and long-term hepatitis. Materials and method: Our narrative review aimed to synthesize literature data on the etiology, clinical picture, diagnostic techniques, optimal management of complications, and timely transplantation. Results: The epidemiology of liver cirrhosis in pediatric patients is evolving. The introduction of a universal vaccination and effective long-term viral suppression in viral hepatitis have significantly decreased complications rates. Liver transplantation programs worldwide have also improved the management of cirrhosis complications. Conclusions: Early diagnosis, comprehensive management strategies, and advancements in treatment modalities are critical for improving outcomes. Understanding these differences is crucial in providing age-appropriate care and support for those affected by cirrhosis.
Keywords: chronic liver disease; hepatitis B virus; hepatocellular carcinoma; hepatitis C virus; hepatic encephalopathy; PELD; MELD chronic liver disease; hepatitis B virus; hepatocellular carcinoma; hepatitis C virus; hepatic encephalopathy; PELD; MELD

Share and Cite

MDPI and ACS Style

Forna, L.; Bozomitu, L.; Lupu, V.V.; Lupu, A.; Trandafir, L.M.; Adam Raileanu, A.; Cojocariu, C.; Anton, C.; Girleanu, I.; Muzica, C.M. Pediatric Perspectives on Liver Cirrhosis: Unravelling Clinical Patterns and Therapeutic Challenges. J. Clin. Med. 2024, 13, 4275. https://doi.org/10.3390/jcm13144275

AMA Style

Forna L, Bozomitu L, Lupu VV, Lupu A, Trandafir LM, Adam Raileanu A, Cojocariu C, Anton C, Girleanu I, Muzica CM. Pediatric Perspectives on Liver Cirrhosis: Unravelling Clinical Patterns and Therapeutic Challenges. Journal of Clinical Medicine. 2024; 13(14):4275. https://doi.org/10.3390/jcm13144275

Chicago/Turabian Style

Forna, Lorenza, Laura Bozomitu, Vasile Valeriu Lupu, Ancuta Lupu, Laura Mihaela Trandafir, Anca Adam Raileanu, Camelia Cojocariu, Carmen Anton, Irina Girleanu, and Cristina Maria Muzica. 2024. "Pediatric Perspectives on Liver Cirrhosis: Unravelling Clinical Patterns and Therapeutic Challenges" Journal of Clinical Medicine 13, no. 14: 4275. https://doi.org/10.3390/jcm13144275

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