Infantile Refsum's disease: Biochemical findings suggesting multiple peroxisomal dysfunction

Infantile Refsum's disease was diagnosed in three male patients, presenting with facial dysmorphia, retinitis pigmentosa, neurosensory hearing loss, hepatomegaly, osteopenia and delayed growth and psychomotor development. An elevated plasma phytanic acid concentration and a deficient phytanic a...

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Veröffentlicht in:Journal of inherited metabolic disease 1986-06, Vol.9 (2), p.169-174
Hauptverfasser: Poll‐The, B. T., Saudubray, J. M., Ogier, H., Schutgens, R. B. H., Wanders, R. J. A., Schrakamp, G., Bosch, H., Trijbels, J. M. F., Poulos, A., Moser, H. W., Eldere, J., Eyssen, H. J.
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container_end_page 174
container_issue 2
container_start_page 169
container_title Journal of inherited metabolic disease
container_volume 9
creator Poll‐The, B. T.
Saudubray, J. M.
Ogier, H.
Schutgens, R. B. H.
Wanders, R. J. A.
Schrakamp, G.
Bosch, H.
Trijbels, J. M. F.
Poulos, A.
Moser, H. W.
Eldere, J.
Eyssen, H. J.
description Infantile Refsum's disease was diagnosed in three male patients, presenting with facial dysmorphia, retinitis pigmentosa, neurosensory hearing loss, hepatomegaly, osteopenia and delayed growth and psychomotor development. An elevated plasma phytanic acid concentration and a deficient phytanic acid oxidase activity in fibroblasts were found with an accumulation of very long chain fatty acids in plasma and fibroblasts. There were elevated pipecolic acid levels in plasma, urine and CSF, and abnormal bile acid metabolites in plasma. Deficient activity of acylCoA: dihydroxyacetone phosphate acyl transferase was found in thrombocytes and fibroblasts of these patients as well as an impairedde novo plasmalogen biosynthesis in fibroblasts. These biochemical abnormalities, previously described in the Zellweger syndrome, suggest multiple peroxisomal dysfunction in our patients.
doi_str_mv 10.1007/BF01799455
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Deficient activity of acylCoA: dihydroxyacetone phosphate acyl transferase was found in thrombocytes and fibroblasts of these patients as well as an impairedde novo plasmalogen biosynthesis in fibroblasts. 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identifier ISSN: 0141-8955
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subjects Acyltransferases - deficiency
Bile Acids and Salts - blood
Biological and medical sciences
Blood Platelets - enzymology
Child
Errors of metabolism
Fatty Acids - blood
Fatty Acids - metabolism
Fibroblasts - metabolism
Humans
Lipids (lysosomal enzyme disorders, storage diseases)
Male
Medical sciences
Metabolic diseases
Microbodies - physiology
Mixed Function Oxygenases
Oxidoreductases - deficiency
Phytanic Acid - blood
Phytanic Acid - deficiency
Pipecolic Acids - blood
Pipecolic Acids - urine
Plasmalogens - metabolism
Refsum Disease - metabolism
title Infantile Refsum's disease: Biochemical findings suggesting multiple peroxisomal dysfunction
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