Abstract
Two infants have been studied with glutaric aciduria Type II. The clinical presentation was of an overwehlming illness very early in life; both infants died in the neonatal period. One had dysmorphic features. An acrid odor may be a clue to the diagnosis. Neonatal acidosis, hypoglycemia, and hyperammonemia are characteristics. Organic acid analysis revealed massive lactic aciduria and glutaric aciduria. A variety of other dicarboxylic acids and hydroxy acids and amino acids were found in elevated amounts in body fluids, along with elevated concentrations of butyric, isobutyric, 2-methylbutyric, and isovaleric acids. The pattern of metabolites accumulated is consistent with deficient activity of a number of acyl-CoA dehydrogenases.
Original language | English (US) |
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Pages (from-to) | 1020-1026 |
Number of pages | 7 |
Journal | The Journal of pediatrics |
Volume | 96 |
Issue number | 6 |
DOIs | |
State | Published - Jun 1980 |
Externally published | Yes |
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health