GSTM1 and liver failure: In contrast, Olivier et al. described a male neonate with PKD whose clinical presentation closely resembled that of our case, including severe hemolytic anemia (Hb 4.8 g/dL; LDH 5411 U/L), thrombocytopenia (platelets 41 × 103/μL), cholestasis, and hepatic failure [17].