Document Detail


Diagnosis and follow-up of a case of peroxisomal disorder with peroxisomal mosaicism.
MedLine Citation:
PMID:  10573465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peroxisomal disorder phenotypes are the result of mutations that cause defective peroxisomal assembly or alterations in the import mechanism of peroxisomal proteins that lead to multiple peroxisomal dysfunctions, or the result of a peroxisomal enzymatic deficiency with a single peroxisomal dysfunction. With complementation analysis, 16 groups have been found. Assignment of the genetic defect has been described for some of the complementation groups. We describe the clinical evolution and follow-up over 10 years of a patient who belongs to complementation group 4, although he showed a milder clinical course. It has been found in fibroblasts different peroxisome populations, normal processing and expression of beta-oxidation PTS1 and PTS2 proteins, abnormal ALD protein distribution and normal plasmalogen biosynthesis; abnormal beta-oxidation metabolites have also been detected in serum. Ultrastructural studies in liver showed peroxisomal mosaicism as in fibroblasts. It has been taken into account that peroxisomal mosaicism may lead to variability in peroxisomal diagnostic parameters, making difficult the final diagnosis in these patients.
Authors:
M Pineda; M Girós; F Roels; M Espeel; M Ruiz; A Moser; H W Moser; R J Wanders; C Pavia; J Conill; A Aracil; L Amat; T Pampols
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of child neurology     Volume:  14     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-12-09     Completed Date:  1999-12-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  434-9     Citation Subset:  IM    
Affiliation:
S. Neurologia y Pediatría, Hospital Sant Joan de Déu, Barcelona, Spain. pineda@hsjdbcn.or
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Diagnosis, Differential
Evoked Potentials
Gene Expression*
Genetic Complementation Test
Humans
Male
Mosaicism*
Peroxisomal Disorders / diagnosis*,  genetics*,  metabolism,  pathology
Peroxisomes / genetics*,  metabolism,  pathology
Phenotype

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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