Successful long-term treatment of hepatic carnitine palmitoyltransferase I deficiency and a novel mutation

被引:13
|
作者
Stoler, JM
Sabry, MA
Hanley, C
Hoppel, CL
Shih, VE
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Pediat Serv,Genet & Teratol Unit, Boston, MA 02114 USA
[2] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Amino Acid Disorders Lab, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Nutr & Food Serv, Boston, MA 02114 USA
[4] Rainbow Babies & Childrens Hosp, Dept Pediat, Ctr Inherited Disorders Energy Metab, Cleveland, OH 44106 USA
关键词
D O I
10.1023/B:BOLI.0000042979.42120.55
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Individuals with carnitine palmitoyltransferase I (CPT-I) deficiency cannot metabolize long-chain fatty acids and can develop life-threatening hypoglycaemia. We present a boy with CPT-I deficiency maintained on a very low-fat diet with nighttime uncooked cornstarch feedings for 51/2 years with good success. He has had normal growth and no episodes of hypoglycaemia or adverse side-effects. We found that he was homozygous for a previously undescribed mutation, T314I, in the CPT1A protein.
引用
收藏
页码:679 / 684
页数:6
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