Diagnosis of mitochondrial fatty acid oxidation defects

Autor: M, Duran, L, Bruinvis, D, Ketting, L, Dorland
Rok vydání: 1993
Předmět:
Zdroj: Padiatrie und Padologie. 28(1)
ISSN: 0030-9338
Popis: Inherited defects of mitochondrial beta-oxidation of fatty acids lead to hypoketotic hypoglycemia during prolonged fasting. Affected patients may present with episodes of a Reye-like illness or even sudden child death. The number of currently detected patients with medium-chain acyl-CoA dehydrogenase deficiency--the most common disease in this area--is indicative of a high frequency, possibly comparable to that of phenylketonuria. A comprehensive system of biochemical analyses is described, which enables the differential diagnosis of the various defects. An indispensable part of the diagnostic system is the gas chromatographic/mass spectrometric analysis of plasma and urinary organic acids. A correct diagnosis is a prerequisite for the installment of specific treatment.
Databáze: OpenAIRE