Hereditary tyrosinemia type 1, a common genetic disorder in the provin
ce of Quebec, is characterized by a deficiency of fumarylacetoacetate
hydrolase. In this autosomal recessive disorder of tyrosine metabolism
, the accumulation of succinylacetone leads to neurologic crises, acut
e and chronic liver failure, complex renal tubulopathy, rickets and a
hemorrhagic syndrome. Liver transplantation has dramatically modified
the spontaneous course of this lethal disease. The present paper descr
ibes the imaging features of tyrosinemia in 30 patients followed from
1980 to 1995 at Hopital Sainte-Justine, Montreal, Canada.