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Relapsing Acute Axonal Neuropathy in Hereditary Fructose Intolerance
Anna Maitre1, Anna Maw1, Uma Ramaswami1
1Paediatric Intensive Care, Department of Paediatrics, Addenbrooke's Hospital, Cambridge, United Kingdom.
Pediatric Neurology
|October 11, 2016
Summary
Hereditary fructose intolerance, typically diagnosed in childhood, can cause severe neurological issues like neuropathy. Early diagnosis and a fructose-free diet can prevent these serious complications.
Area of Science:
- Neurology
- Metabolic Disorders
- Genetics
Background:
- Hereditary fructose intolerance (HFI) is a genetic metabolic disorder.
- HFI typically presents in infancy with severe metabolic acidosis and hypoglycemia.
- Severe neurological abnormalities have not been previously associated with HFI.
Observation:
- A five-year-old boy presented with a relapsing-remitting neuropathy, mimicking acute motor axonal neuropathy (AMAN).
- The patient was subsequently diagnosed with undiagnosed hereditary fructose intolerance.
- A fructose exclusion diet led to a significant reduction in neurological episodes.
Findings:
- The patient's younger brother, diagnosed with HFI via screening, remained asymptomatic on a fructose-free diet.
- This case suggests a link between hereditary fructose intolerance and severe neurological dysfunction.
- Neurological symptoms in HFI may be related to chronic fructose exposure.
Implications:
- Early diagnosis of HFI is crucial for preventing neurological complications.
- Implementing a fructose-free diet can mitigate or prevent neuropathy in HFI patients.
- This study highlights the importance of considering HFI in children with unexplained neurological disorders.
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