3-Hydroxy-3-Methylglutaric Aciduria

被引:17
作者
Greene, Carol L. [1 ]
Cann, Howard M. [1 ]
Robinson, Brian H. [2 ,3 ,4 ]
Gibson, Kenneth M. [5 ,6 ]
Sweetman, Lawrence [5 ,6 ]
Holm, Jan [5 ,6 ]
Nyhan, William L. [5 ,6 ]
机构
[1] Stanford Univ, Med Ctr, Dept Pediat, Stanford, CA 94305 USA
[2] Univ Toronto, Dept Biochem, Toronto, ON, Canada
[3] Univ Toronto, Dept Pediat, Toronto, ON, Canada
[4] Hosp Sick Children, Res Inst, Toronto, ON M5G 1X8, Canada
[5] Univ Calif San Diego, Dept Pediat, M-009, La Jolla, CA 92093 USA
[6] Univ Calif San Diego, Dept Chem, La Jolla, CA 92093 USA
基金
美国国家卫生研究院;
关键词
3-hydroxy-3-methylglutaric aciduria; 3-hydroxy-3-methylglutaryl-CoA lyase; hypoglycemia; metabolic acidosis without ketonuria; hyperammonemia;
D O I
10.3109/01677068409107082
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
3-Hydroxy-3-methylglutaric aciduria was found in a newborn infant whose parents are first cousins. The patient presented at 5 days of life with hyperammonemia, hypoglecemia, and metabolic acidosis. There was no ketonuria. Diagnosis was made by analysis of the pattern of organic acids excreted in the urine. A profound deficiency in activity of 3-hydroxy-3-methylglutaryl-coenzym A lyase was found in cultured skin fibroblasts. The parents had intermediate levels of enzyme activity.
引用
收藏
页码:165 / 173
页数:9
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