ISSN:
1432-1076
Keywords:
Key words Mitochondrial fatty acid oxidation
;
Short-chain acyl-CoA dehydrogenase deficiency
;
Ethylmalonic aciduria
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Two HLA-identical twin sisters are reported, of whom one has remained essentially asymptomatic, and an episode of hypotonia and decreased level of conciousness being the only relevant clinical finding in the other. Organic acid analysis revealed that ethylmalonate was constantly, although sometimes only slightly, increased. No abnormal acylglycines or acylcarnitines could be detected. Enzyme assay in cultured skin fibroblasts confirmed short-chain acyl-CoA dehydrogenase deficiency. Conclusion The lack of appropriate biochemical markers for this deficiency makes the diagnosis difficult and consequently, the low number of patients described may be the result of underdiagnosis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004310050819
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