Neonatal Hereditary Fructose Intolerance: Diagnostic Misconceptions and the Role of Genomic Sequencing.

hereditary fructose intolerance neonatal liver failure whole exome sequencing

Journal

JPGN reports
ISSN: 2691-171X
Titre abrégé: JPGN Rep
Pays: United States
ID NLM: 101773885

Informations de publication

Date de publication:
May 2021
Historique:
received: 20 11 2020
accepted: 24 02 2021
medline: 30 4 2021
pubmed: 30 4 2021
entrez: 19 5 2023
Statut: epublish

Résumé

Hereditary fructose intolerance (HFI) is a rare inborn error of metabolism due to deficiency of the enzyme aldolase B, preventing metabolism of fructose. Patients remain asymptomatic until exposed to fructose, sucrose, or sorbitol. HFI presenting as acute liver failure in the neonatal period is rare due to lack of exposure as breast milk and infant formulas are considered to be fructose free. Diagnosis can be delayed due to vague symptoms and lack of specific biomarkers. Recent advances in genetic testing have led to rapid diagnosis and favorable outcomes. We present the case of a formula-fed neonate who presented with acute liver failure where definitive diagnosis of HFI was made using expedited whole exome sequencing. Through this communication, we aim to bring attention to neonatal presentations of HFI from exposure to fructose in infant formulas and also highlight advances in rapid turnaround genomic testing in diagnosis.

Identifiants

pubmed: 37207065
doi: 10.1097/PG9.0000000000000076
pmc: PMC10191584
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e076

Informations de copyright

Copyright © 2021 The Author(s). Published by Wolters Kluwer on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

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Auteurs

Jeffrey Lee (J)

From the Division of Pediatric Gastroenterology and Hepatology, Medical University of South Carolina, Shawn Jenkins Children's Hospital, Charleston, SC.

Joshua Arenth (J)

Division of Pediatric Critical Care Medicine, Medical University of South Carolina, Shawn Jenkins Children's Hospital, Charleston, SC.

Nagraj Kasi (N)

From the Division of Pediatric Gastroenterology and Hepatology, Medical University of South Carolina, Shawn Jenkins Children's Hospital, Charleston, SC.

Classifications MeSH