Treatment of Smith-Lemli-Opitz syndrome: results of a multicenter trial

Autor: M, Irons, E R, Elias, D, Abuelo, M J, Bull, C L, Greene, V P, Johnson, L, Keppen, C, Schanen, G S, Tint, G, Salen
Rok vydání: 1997
Předmět:
Zdroj: American journal of medical genetics. 68(3)
ISSN: 0148-7299
Popis: Patients with the RSH or Smith-Lemli-Optiz syndrome (SLOS) have an inborn error of cholesterol biosynthesis which results in a deficiency of cholesterol and an elevation of the cholesterol precursor, 7-dehydrocholesterol. A treatment protocol consisting of administration of cholesterol +/- bile acids was initiated in an attempt to correct the biochemical abnormalities seen. Fourteen patients (8 female, 6 male: ages 2 months to 15 years) have now been treated for 6-15 months. Three patients received cholesterol alone, while 11 patients received cholesterol and one or more bile acids. Biochemical improvement in sterol levels and in the ratio of cholesterol to total sterols was noted in all patients. The most marked improvement was noted in patients presenting with initial cholesterol levels40 mg/dl. No toxicity was observed. Clinical improvement in growth and neurodevelopmental status was also observed.
Databáze: OpenAIRE