Diagnosis of a patient with a kinetic variant of medium and short-chain 3-hydroxyacyl-CoA dehydrogenase deficiency by newborn screening

被引:4
作者
Vilarinho, Laura [1 ]
Marques, Jorge Sales [2 ]
Rocha, Hugo [1 ]
Ramos, Altina [1 ]
Lopes, Lurdes [1 ]
Narayan, Srinivas B. [3 ]
Bennett, Michael J. [3 ,4 ]
机构
[1] Natl Inst Hlth, Newborn Screening Unit, Oporto, Portugal
[2] Gaia Hosp, Dept Pediat, Gaia, Portugal
[3] Childrens Hosp Philadelphia, Dept Pathol & Lab Med, Philadelphia, PA USA
[4] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
SCHAD deficiency; Fatty acid oxidation defects; Metabolic disorders; Acylcarnitine analysis; CRYSTAL-STRUCTURE DETERMINATION; GLUTAMATE-DEHYDROGENASE; BETA-OXIDATION; HYPERINSULINISM; MUTATIONS; MECHANISM; GENE;
D O I
10.1016/j.ymgme.2012.04.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Medium and short-chain 3-hydroxyacyl-CoA dehydrogenase deficiency is a rare cause of impaired mitochondrial fatty acid oxidation. We present a case report of a patient with hyperinsulinism and homozygosity for a novel mutation causing a kinetic variant of the enzyme. The diagnosis was Initially inferred by abnormal newborn screening acylcarnitine analysis with elevated C4-hydroxyacylcarnitine. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:277 / 280
页数:4
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