Iatrogenic isolated isoleucine deficiency as the cause of an acrodermatitis enteropathica-like syndrome

Autor: Bosch, A. M., Sillevis Smitt, J. H., van Gennip, A. H., Abeling, N. G., Schutgens, R. B., Bakker, H. D., Wijburg, F. A.
Přispěvatelé: Other departments
Jazyk: angličtina
Rok vydání: 1998
Zdroj: British journal of dermatology, 139(3), 488-491. Wiley-Blackwell
ISSN: 0007-0963
Popis: We present two patients with a suspected inborn error of metabolism. A female newborn presented with dysmorphic features and convulsions. Metabolic screening suggested a defect in isoleucine degradation. Within 2 weeks after the introduction of an isoleucine-restricted diet, she developed a severe acrodermatitis enteropathica-like syndrome. The plasma level of isoleucine was low with a normal leucine/isoleucine ratio. The second patient, a female infant deficient in leucine as a result of a leucine-restricted diet, did not develop a dermatosis. Isoleucine is essential for normal growth and differentiation of keratinocytes and enterocytes. Deficiency of isoleucine, and not leucine or an imbalance in the leucine/isoleucine ratio, may result in an acrodermatitis enteropathica-like syndrome
Databáze: OpenAIRE