3-Hydroxy-3-methylglutaric Aciduria
Overview
Affiliations
3-Hydroxy-3-methylglutaric aciduria was found in a newborn infant whose parents are first cousins. The patient presented at 5 days of life with hyperammonemia, hypoglycemia, and metabolic acidosis. There was no ketonuria. Diagnosis was made by analysis of the pattern of organic acids excreted in the urine. A profound deficiency in activity of 3-hydroxy-3-methylglutaryl-coenzyme A lyase was found in cultured skin fibroblasts. The parents had intermediate levels of enzyme activity.
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PMID: 9463337 PMC: 1376904. DOI: 10.1086/301730.
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PMID: 6475954 PMC: 1684482.
Gibson K, Nyhan W, Sweetman L, Narisawa K, Lehnert W, DIVRY P Eur J Pediatr. 1988; 148(1):76-82.
PMID: 3197737 DOI: 10.1007/BF00441821.
3-Hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: report of five new patients.
Gibson K, Breuer J, Kaiser K, Nyhan W, McCoy E, Ferreira P J Inherit Metab Dis. 1988; 11(1):76-87.
PMID: 3128690 DOI: 10.1007/BF01800058.
3-Hydroxy-3-methylglutaryl-coenzyme a lyase deficiency: a review.
Wysocki S, Hahnel R J Inherit Metab Dis. 1986; 9(3):225-33.
PMID: 3099065 DOI: 10.1007/BF01799652.