We describe a case of glycogen storage disease type lb in 32-year old male
patient with poor metabolic control in spite of medical and nutritional man
agement and the use of recombinant granulocyte stimulating factor. Because
of this, liver transplantation was considered as a definitive treatment. We
comment on the metabolic results of liver transplantation performed, with
reversal of hypoglycemia, hyperuricemia, hypertrigliceridemia and cyclic ne
utropenia, all of which persist 4 years post-transplant. In view of this ca
se, we believe that liver transplantation is a feasible option to consider
in patients with type lb glycogenosis as a definitive therapeutic procedure
. (C) 2001 Harcourt Publishers Ltd.