晚期发病的甲辅因子缺乏症A型:一种可治疗的发育迟缓原因
Allan M Lund1,2,3, Siren Berland4, Trine Tangeraas3,5
1Department of Clinical Medicine, University of Copenhagen, and Centre for Inherited Metabolic Diseases, Departments of Pediatrics.
Pediatrics
|May 29, 2024
概括
辅因子缺乏症可能在儿童期晚些时候出现,并导致发育迟缓. 早期诊断和治疗对于在这些较温和,较晚发病的病例中保持神经功能至关重要.
科学领域:
- 生物化学 生物化学
- 遗传学 是一个遗传学.
- 儿科神经学 儿科神经学
背景情况:
- 辅因子缺乏症 (MocoD) 经典地出现在新生儿中,有严重的症状,如难以治愈的发作.
- 较轻微的MocoD形式可能会晚些时候出现,通常在2岁之前,与发育延迟有关,可能导致诊断延迟.
- 及时诊断和干预对于减轻MocoD患者的神经损伤至关重要.
研究的目的:
- 为了突出晚发性辅因子缺乏症A型 (MocoD-A) 的呈现.
- 强调在有不明原因发育迟缓的儿童中考虑MocoD的重要性.
- 讨论早期诊断和FDA批准的基质替代疗法的关键作用.
主要方法:
- 病例报告详细介绍了两名患有晚发性MocoD-A.的儿童的临床表现和诊断过程.
- 对辅因子缺乏症的诊断标准和治疗方案的审查.
主要成果:
- 两个MocoD-A病例呈现出延迟发病,其特点是发育迟缓,而不是新生儿发作.
- 患者的病情强调了MocoD表现的变化以及误诊或延迟诊断的风险.
结论:
- 晚期发病的MocoD-A可以通过发育延迟微妙地表现出来,需要高度的怀疑指数.
- 及时诊断和启动基质替代疗法对于有利的神经结果至关重要.
- 这一案例系列加强了对有发育迟缓的儿童进行全面评估的需要.
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