EC Clinical and Medical Case Reports

Case Report Volume 8 Issue 1 - 2025

Neonatal Hemochromatosis with Acute Liver Failure

Al Sean A, Afifi E, Almutairi W, Al Hussein K, AlGarni A, Miqdad A and Abdelbasit O*

Pediatric Department, Neonatal Division, Security Forces Hospital, Riyadh, Saudi Arabia

*Corresponding Author: AbdelBasit O, Pediatric Department, Neonatal Division, Security Forces Hospital, Riyadh, Saudi Arabia.
Received: November 22, 2024; Published: December 24, 2025



Gestational autoimmune liver disease (GALD) is now recognized as the major cause of neonatal hemochromatosis in almost all the cases. Cases of neonatal hemochromatosis due to gestational autoimmune liver disease can result in fetal demise, stillbirth or neonatal acute liver failure. Neonatal hemochromatosis due to GALD is not hereditary; rather it is congenital materno-fetal alloimmune disorder that results in fetal liver injury. This makes GALD a treatable and preventable disorder which underlines the importance of establishing a diagnosis early in order to provide the appropriate management.

 Keywords: GALD: Gestational Autoimmune Liver Disease; NH: Neonatal Hemochromatosis; IUGR: Intrauterine Growth Restriction; IVIG: Intravenous Immunoglobulin G

  1. Feldman AG and Whitington PF. “Neonatal hemochromatosis”. Journal of Clinical and Experimental Hepatology 4 (2013): 313-320.
  2. Pan X., et al. “Novel mechanism of fetal hepatocyte injury in congenital alloimmune hepatitis involves the terminal complement cascade”. Hepatology6 (2010): 2061-2068.
  3. Whittington PF., et al. “Gestational alloimmune liver disease in cases of fetal death”. Journal of Pediatrics 4 (2011): 612-616.
  4. Collardeau-Frachon S., et al. “French retrospective multicentric study of neonatal hemochromatosis: importance of autopsy and autoimmune maternal manifestations”. Pediatric and Developmental Pathology 6 (2012): 450-470.
  5. Salomao MA. “Pathology of hepatic iron overload”. Clinical Liver Disease 4 (2021): 232-237.
  6. Bonilla S., et al. “Neonatal iron overload and tissue siderosis due to gestational alloimmune liver disease”. Journal of Hepatology 6 (2012): 1351-1355.
  7. Collardeau-Frachon S., et al. “Relevance of c5b-9 immunostaining in the diagnosis of neonatal hemochromatosis”. Pediatric Research5 (2017): 712-721.
  8. Babor F., et al. “Successful management of neonatal hemochromatosis by exchange transfusion and immunoglobulin: A case report”. Journal of Perinatology: Official Journal of the California Perinatal Association 1 (2013): 83-85.
  9. Whitington PF. “Neonatal hemochromatosis: A congenital alloimmune hepatitis”. Seminars in Liver Disease 3 (2007): 243-250.
  10. Whitington PF and Kelly S. “Outcome of pregnancies at risk for neonatal hemochromatosis is improved by treatment with high-dose intravenous immunoglobulin”. Pediatrics6 (2008): 1615-1621.
  11. Whitington PF and Hibbard JU. “High-dose immunoglobulin during pregnancy for recurrent neonatal haemochromatosis”. Lancet 9446 (2004): 1690-1698.
  12. Sciard C., et al. “Pre-natal imaging features suggestive of liver gestational alloimmune disease”. Journal of Gynecology Obstetrics and Human Reproduction 48 (2019): 61-64.
  13. Staicu A., et al. “Neonatal hemochromatosis: Systematic review of prenatal ultrasound findings—is there a place for MRI in the diagnostic process?” Journal of Clinical Medicine 7 (2023): 2679.
  14. Chavhan GB., et al. “Magnetic resonance imaging of neonatal hemochromatosis”. Pediatric Radiology 2 (2022): 334-349.

Abdelbasit O., et al. "Neonatal Hemochromatosis with Acute Liver Failure." EC Clinical and Medical Case Reports 8.1 (2025): 01-05.