遗传代谢疾病中的超血症:一个病例报告
Natalia Frankevich1, Mzia Makieva1, Olga Mikhailova1
1Obstetrics and Gynecology, National Medical Research Center for Obstetrics Gynecology and Perinatology Named After Academician V.I. Kulakov, Ministry of Healthcare of Russian Federation, Moscow, RUS.
Cureus
|November 17, 2025
概括
新生儿高氨血症的早期诊断,就像甲酸转糖酶缺乏症一样,至关重要. 及时治疗可以防止严重的神经损伤和新生儿的死亡.
科学领域:
- 生物化学 生物化学
- 儿科 儿科 儿科
- 遗传学 是一个遗传学.
背景情况:
- 新生儿高氨血症由于非特异性症状而带来诊断挑战.
- 延迟诊断代谢的先天性错误可能会导致不可逆转的神经损伤.
研究的目的:
- 突出新生儿高氨血的早期识别和管理的关键挑战.
- 强调临床怀疑和扩大新生儿查的重要性.
主要方法:
- 一个完整的男性婴儿的病例报告,患有甲氨酸转糖酶 (OTC) 缺乏.
- 对临床表现和诊断考虑的审查.
主要成果:
- 婴儿的初始表现是不特定的,延迟了诊断.
- 生物化学测试并没有立即可用,这凸显了管理方面的困难.
结论:
- 临床怀疑的高指数对于诊断新生儿高氨血症至关重要.
- 扩大新生儿查计划对于及时诊断和治疗启动至关重要.
- 早期干预对于预防受影响婴儿的严重残疾或死亡至关重要.
相关概念视频
Inborn Errors of Metabolism
688
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
688
Urea Cycle
49.6K
The urea cycle describes how liver cells convert ammonia to urea. Ammonia is a toxic waste product of protein catabolism. Land animals must convert ammonia into the less toxic urea which can be safely eliminated by the kidneys through urine. Marine animals excrete ammonia directly, and the surrounding water dilutes the ammonia to safe levels.
49.6K
Overview of Protein Metabolism
3.6K
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
3.6K
Lysosomal Hydrolases
4.4K
Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
4.4K
Protein Import into the Peroxisomes
5.2K
Cells contain membrane-bound organelles called peroxisomes that oxidize organic molecules by transferring hydrogen atoms to oxygen, producing hydrogen peroxide. Peroxisomes enzymatically convert the released hydrogen peroxide into water and oxygen.
Peroxisomal Protein Import:
Peroxisomes lack the genetic machinery required to code for their own proteins. Hence, most peroxisomal membrane, lumenal and transmembrane proteins are synthesized in the cytoplasm or ER and transported to the peroxisome...
Peroxisomal Protein Import:
Peroxisomes lack the genetic machinery required to code for their own proteins. Hence, most peroxisomal membrane, lumenal and transmembrane proteins are synthesized in the cytoplasm or ER and transported to the peroxisome...
5.2K
Amino Acid Biosynthetic Pathways
1.0K
Amino acid biosynthesis is essential for cell growth, protein synthesis, and metabolic regulation. Cells generate essential and non-essential amino acids from metabolic intermediates to sustain vital biological functions. These intermediates originate from key metabolic pathways: glycolysis, the tricarboxylic acid (TCA) cycle, and the pentose phosphate pathway. Important precursors include α-ketoglutarate, pyruvate, oxaloacetate, phosphoenolpyruvate, and erythrose-4-phosphate, which...
1.0K


