Abnormal α‐aminoadipic acid excretion in a newborn with a defect in platelet aggregation and antenatal cerebral haemorrhage

Summary α‐Aminoadipic acid (αAA) is an intermediate in lysine metabolism. We report a new case with αAA excess in urine and plasma, without α‐ketoadipic acid, in a full‐term male child born to unrelated parents; he presented at 24h of life with seizures that failed to respond to phenobarbital, clona...

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Veröffentlicht in:Journal of inherited metabolic disease 1995-01, Vol.18 (1), p.56-60
Hauptverfasser: Candito, M., Richelme, C., Parvy, P., Dageville, C., Appert, A., Bekri, S., Rabier, D., Chambon, P., Mariani, R., Kamoun, P.
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container_end_page 60
container_issue 1
container_start_page 56
container_title Journal of inherited metabolic disease
container_volume 18
creator Candito, M.
Richelme, C.
Parvy, P.
Dageville, C.
Appert, A.
Bekri, S.
Rabier, D.
Chambon, P.
Mariani, R.
Kamoun, P.
description Summary α‐Aminoadipic acid (αAA) is an intermediate in lysine metabolism. We report a new case with αAA excess in urine and plasma, without α‐ketoadipic acid, in a full‐term male child born to unrelated parents; he presented at 24h of life with seizures that failed to respond to phenobarbital, clonazepam, and Vigabatrin and death occurred on the 38th day of life. Brain imaging suggested antenatal haemorrhage. Small quantities of αAA were also detected in the blood and urine of both parents and a healthy brother, all three of whom exhibited the same defect in platelet aggregation as the deceased child. Both parents had decreased levels of plasma neopterin, a finding that might be related to the immunodeficiency described in other cases.
doi_str_mv 10.1007/BF00711373
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We report a new case with αAA excess in urine and plasma, without α‐ketoadipic acid, in a full‐term male child born to unrelated parents; he presented at 24h of life with seizures that failed to respond to phenobarbital, clonazepam, and Vigabatrin and death occurred on the 38th day of life. Brain imaging suggested antenatal haemorrhage. Small quantities of αAA were also detected in the blood and urine of both parents and a healthy brother, all three of whom exhibited the same defect in platelet aggregation as the deceased child. 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We report a new case with αAA excess in urine and plasma, without α‐ketoadipic acid, in a full‐term male child born to unrelated parents; he presented at 24h of life with seizures that failed to respond to phenobarbital, clonazepam, and Vigabatrin and death occurred on the 38th day of life. Brain imaging suggested antenatal haemorrhage. Small quantities of αAA were also detected in the blood and urine of both parents and a healthy brother, all three of whom exhibited the same defect in platelet aggregation as the deceased child. Both parents had decreased levels of plasma neopterin, a finding that might be related to the immunodeficiency described in other cases.</description><subject>2-Aminoadipic Acid - urine</subject><subject>Amino Acid Metabolism, Inborn Errors - blood</subject><subject>Amino Acid Metabolism, Inborn Errors - pathology</subject><subject>Amino Acid Metabolism, Inborn Errors - urine</subject><subject>Aminoacid disorders</subject><subject>Biological and medical sciences</subject><subject>Biopterins - analogs &amp; derivatives</subject><subject>Biopterins - blood</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - pathology</subject><subject>Cerebral Hemorrhage - blood</subject><subject>Cerebral Hemorrhage - pathology</subject><subject>Cerebral Hemorrhage - urine</subject><subject>Errors of metabolism</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Neopterin</subject><subject>Platelet Aggregation - physiology</subject><subject>Seizures - congenital</subject><subject>Tomography, X-Ray Computed</subject><subject>Vitamin K Deficiency Bleeding - blood</subject><subject>Vitamin K Deficiency Bleeding - pathology</subject><subject>Vitamin K Deficiency Bleeding - urine</subject><issn>0141-8955</issn><issn>1573-2665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEuO1DAQhi0EGpqBDXukLBALpED5mWQ5D-aBBrGBdVS2K91GidPYaTWzGXEErsJFOAQnIU23hh0Ll136v_pL_hl7zuENB6jenl7MlXNZyQdswXUlS2GMfsgWwBUv60brx-xJzl8AoKm1PmJHlRFSKblgdyc2jmnAvvj18_f3HziEOKIP6-AKdMEX9M0lmsIYixALLCJt7ZhisQ3Tam49deSmnbTucaKepgKXy0RL_DuC0c9noojTvMBRIpvmxwppGFNa4ZKeskcd9pmeHe5j9vni3aezq_Lm4-X12clN6WTNTdk5CQaUIeu8sLUFCbbzdWc4n3_RCC2oER6d0ZXX0HhfCQGgFLdOOeBGHrNXe991Gr9uKE_tELKjvsdI4ya3VaW4kHIHvt6DLo05J-radQoDptuWQ7sLu_0X9gy_OLhu7ED-Hj2kO-svDzpmh32XMLqQ7zGpai2bZsZgj21DT7f_Wdi-v_5wDqCN_APXp5a8</recordid><startdate>199501</startdate><enddate>199501</enddate><creator>Candito, M.</creator><creator>Richelme, C.</creator><creator>Parvy, P.</creator><creator>Dageville, C.</creator><creator>Appert, A.</creator><creator>Bekri, S.</creator><creator>Rabier, D.</creator><creator>Chambon, P.</creator><creator>Mariani, R.</creator><creator>Kamoun, P.</creator><general>Kluwer Academic Publishers</general><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199501</creationdate><title>Abnormal α‐aminoadipic acid excretion in a newborn with a defect in platelet aggregation and antenatal cerebral haemorrhage</title><author>Candito, M. ; 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We report a new case with αAA excess in urine and plasma, without α‐ketoadipic acid, in a full‐term male child born to unrelated parents; he presented at 24h of life with seizures that failed to respond to phenobarbital, clonazepam, and Vigabatrin and death occurred on the 38th day of life. Brain imaging suggested antenatal haemorrhage. Small quantities of αAA were also detected in the blood and urine of both parents and a healthy brother, all three of whom exhibited the same defect in platelet aggregation as the deceased child. Both parents had decreased levels of plasma neopterin, a finding that might be related to the immunodeficiency described in other cases.</abstract><cop>Dordrecht</cop><pub>Kluwer Academic Publishers</pub><pmid>7623443</pmid><doi>10.1007/BF00711373</doi><tpages>5</tpages></addata></record>
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subjects 2-Aminoadipic Acid - urine
Amino Acid Metabolism, Inborn Errors - blood
Amino Acid Metabolism, Inborn Errors - pathology
Amino Acid Metabolism, Inborn Errors - urine
Aminoacid disorders
Biological and medical sciences
Biopterins - analogs & derivatives
Biopterins - blood
Brain - diagnostic imaging
Brain - pathology
Cerebral Hemorrhage - blood
Cerebral Hemorrhage - pathology
Cerebral Hemorrhage - urine
Errors of metabolism
Humans
Infant, Newborn
Magnetic Resonance Imaging
Male
Medical sciences
Metabolic diseases
Neopterin
Platelet Aggregation - physiology
Seizures - congenital
Tomography, X-Ray Computed
Vitamin K Deficiency Bleeding - blood
Vitamin K Deficiency Bleeding - pathology
Vitamin K Deficiency Bleeding - urine
title Abnormal α‐aminoadipic acid excretion in a newborn with a defect in platelet aggregation and antenatal cerebral haemorrhage
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