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Nonketotic hyperglycinemia case series.
Mehtab Iqbal1, Manish Prasad1, Santosh R Mordekar2
1Department of Paediatric Neurology, Leicester Royal Infirmary, Leicester, UK.
Journal of Pediatric Neurosciences
|March 11, 2016
Summary
Neonatal hiccups can be an early sign of nonketotic hyperglycinemia (NKH), a rare metabolic disorder. Early diagnosis through prompt investigation is crucial for managing this condition and informing genetic counseling.
Area of Science:
- Biochemistry
- Neonatology
- Genetics
Background:
- Nonketotic hyperglycinemia (NKH) is a rare inborn error of metabolism.
- Neonatal presentation of NKH can be varied, posing diagnostic challenges.
Observation:
- Three neonates presented with persistent hiccups as a primary symptom.
- Clinical manifestations included hypotonia, poor feeding, abnormal movements, and apnea.
Findings:
- All three cases were diagnosed with nonketotic hyperglycinemia after extensive investigations.
- Diagnostic workup involved metabolic screening, neuroimaging, and electroencephalography.
Implications:
- Early recognition of neonatal hiccups as a potential NKH symptom is vital.
- Timely diagnosis impacts treatment decisions, prognosis, and genetic counseling for future pregnancies.
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