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- Title
Beneficial Effect of N-Carbamylglutamate in a Neonatal Form of Multiple Acyl-CoA Dehydrogenase Deficiency.
- Authors
Stanescu, Sinziana; Belanger-Quintana, Amaya; Alcalde Martin, Carlos; Pérez-Cerdá Silvestre, Celia; Merinero Cortés, Begoña; Gonzalez Pérez, Belen; Fernández García-Abril, Carmen; Arrieta Blanco, Francisco; Palacios Valverde, Esperanza; Martínez-Pardo Casanova, Mercedes
- Abstract
Background. Multiple acyl-CoA dehydrogenase deficiency is an autosomal recessive disorder of the amino acid metabolism and fatty acid oxidation due to the deficiency of the electron transfer protein or electron transfer protein ubiquinone oxidoreductase. The clinical picture ranges from a severe neonatal lethal presentation to late myopathic forms responsive to riboflavin. Up to now, there is no effective treatment for the neonatal form, which exhibits severe metabolic acidosis, hyperammonemia, hypoketotic hypoglycemia, and rhabdomyolysis. We present the case of a child who has had a good long-term outcome after a typical neonatal onset, with a dramatic drop in ammonia levels during the initial metabolic decompensation crisis and adequate control even during intercurrent diseases thereafter with N-carbamylglutamate treatment.
- Subjects
GLUCOSE-6-phosphate dehydrogenase deficiency; AMINO acid metabolism disorders; ACYL coenzyme A; FATTY acid oxidation; CHARGE exchange; FATTY acids
- Publication
Case Reports in Pediatrics, 2020, p1
- ISSN
2090-6803
- Publication type
Article
- DOI
10.1155/2020/1370293