Clinical and genetic characteristics of two patients with tyrosinemia type 1 in Slovenia - A novel fumarylacetoacetate hydrolase (

AFP, alpha-fetoprotein ALP, alkaline phosphatase ALT, alanine transaminase AST, aspartate transaminase DBS, dried blood spot Dried blood spot FAH, fumarylacetoacetate hydrolase Fumarylacetoacetate hydrolase GGT, gamma glutamyl transferase HT1, tyrosinemia type 1 INR, international normalized ratio Intronic variant MS/MS, tandem mass spectrometry NBS, newborn screening NTBC, nitisinone Nitisinone PTT, partial thromboplastin time RF, reference range SA, succinylacetone Succinylacetone Tyrosinemia

Journal

Molecular genetics and metabolism reports
ISSN: 2214-4269
Titre abrégé: Mol Genet Metab Rep
Pays: United States
ID NLM: 101624422

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 02 11 2021
revised: 12 12 2021
accepted: 13 12 2021
entrez: 4 3 2022
pubmed: 5 3 2022
medline: 5 3 2022
Statut: epublish

Résumé

Tyrosinemia type 1 (HT1) is an inborn error of tyrosine catabolism that leads to severe liver, kidney, and neurological dysfunction. Newborn screening (NBS) can enable a timely diagnosis and early initiation of treatment. We presented the follow up of the only two Slovenian patients diagnosed with HT1. Metabolic control was monitored by measuring tyrosine, phenylalanine and succinylacetone from dried blood spots (DBSs). Retrograde screening of HT1 was performed from DBSs taken at birth using tandem mass spectrometry. First patient was diagnosed at the age of 6 months in the asymptomatic phase due to an abnormal liver echogenicity, the other presented at 2.5 months with an acute liver failure and needed a liver transplantation. The first was a compound heterozygote for a novel

Identifiants

pubmed: 35242570
doi: 10.1016/j.ymgmr.2021.100836
pii: S2214-4269(21)00131-2
pmc: PMC8856938
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100836

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

Authors declare no conflicts of interest.

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Auteurs

Jaka Sikonja (J)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Jernej Brecelj (J)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Mojca Zerjav Tansek (M)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Endocrinology, Diabetes, and Metabolic Diseases, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Barbka Repic Lampret (B)

Clinical Institute for Special Laboratory Diagnostics, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Ana Drole Torkar (A)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Endocrinology, Diabetes, and Metabolic Diseases, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Simona Klemencic (S)

Department of Endocrinology, Diabetes, and Metabolic Diseases, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Neza Lipovec (N)

Unit for Clinical Dietetics, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Valentina Stefanova Kralj (V)

Department of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Sara Bertok (S)

Department of Endocrinology, Diabetes, and Metabolic Diseases, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Jernej Kovac (J)

Clinical Institute for Special Laboratory Diagnostics, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Barbara Faganel Kotnik (B)

Department of Haematology and Oncology, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Marketa Tesarova (M)

Department of Pediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Ziga Iztok Remec (ZI)

Clinical Institute for Special Laboratory Diagnostics, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Marusa Debeljak (M)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Clinical Institute for Special Laboratory Diagnostics, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Tadej Battelino (T)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Endocrinology, Diabetes, and Metabolic Diseases, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Urh Groselj (U)

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Endocrinology, Diabetes, and Metabolic Diseases, University Children's Hospital, UMC Ljubljana, Ljubljana, Slovenia.

Classifications MeSH