Niemann-Pick disease type C and defective peroxisomal β-oxidation of branched-chain substrates

被引:8
作者
Sequeira, JSS
Vellodi, A
Vanier, MT
Clayton, PT
机构
[1] Inst Child Hlth, Biochem Unit, London WC1N 1EH, England
[2] Great Ormond St Hosp Children, London WC1N 3JH, England
[3] Fdn Gillet Merieux, Lyon Sud Med Sch, Pierre Benite, France
[4] Lyon Sud Med Sch & Hosp, Fdn Gillet Merieux, Pierre Benite, France
关键词
D O I
10.1023/A:1005395709826
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An 18-month-old infant presented with hypotonia, motor delay, hepatosplenomegaly, rickets and steatorrhoea. Biochemical investigations revealed typical features of Niemann-Pick disease type C. In addition, there was evidence of defective peroxisomal beta-oxidation of branched-chain substrates (3 alpha,7 alpha,12 alpha-trihydroxycholestanoic acid and pristanic acid). The steatorrhoea and fat-soluble vitamin malabsorption responded well to bile acid therapy. Possible causes for the double defect are considered.
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页码:149 / 154
页数:6
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