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Late-onset multiple acyl-CoA dehydrogenase deficiency: an insidious presentation
Naini Nishita Rao1,2, Kharis Burns3,2, Catherine Manolikos3,4
1Department of Endocrinology and Diabetes, Royal Perth Hospital, Perth, Western Australia, Australia n.nishita.rao@gmail.com.
Multiple acyl-CoA dehydrogenase deficiency (MADD) is a rare metabolic disorder affecting fatty acid oxidation. This case highlights the diagnosis and treatment of late-onset MADD in an adult, emphasizing the need for increased physician awareness.
Area of Science:
- Biochemistry
- Genetics
- Metabolic Disorders
Background:
- Multiple acyl-CoA dehydrogenase deficiency (MADD) is a rare autosomal recessive metabolic disorder impairing mitochondrial fatty acid oxidation.
- Clinical presentation of MADD is highly variable, ranging from neonatal onset with high mortality to late-onset forms with delayed diagnosis.
- Late-onset MADD may be under-recognized due to heterogeneous symptoms and lower physician awareness.
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