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Primary ∆4-3-oxosteroid 5β-reductase deficiency: two cases in China
Jing Zhao1, Ling-Juan Fang, Kenneth D R Setchell
1Center for Pediatric Liver Diseases, Children's Hospital of Fudan University, Shanghai 201102, China.
World Journal of Gastroenterology
|January 17, 2013
Summary
The first two patients with primary ∆4-3-oxosteroid 5β-reductase deficiency were identified in China. This rare bile acid deficiency was diagnosed using mass spectroscopy and genetic analysis, with successful treatment using ursodeoxycholic acid.
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Background:
- Aldo-keto reductase 1D1 (AKR1D1) deficiency is a rare, life-threatening bile acid metabolism disorder.
- This condition has not been previously documented in China.
- Primary ∆4-3-oxosteroid 5β-reductase deficiency affects bile acid synthesis.