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5-OXOPROLINASE DEFICIENCY (OPLAHD)

5-OXOPROLINASE DEFICIENCY (OPLAHD)
5-OXOPROLINURIA
260005
OMIM = Online Mendelian Inheritance of Men
33572
5-oxoprolinase
3.5.2.9
8q24.3
E72.8
rare
autosomal recessive
mutation in OPLAH gene
other causes of 5-oxoproline excretion: infantile formula malnutrition, prematurity, acetaminophen and other drugs (in adults) severe burns unresolved [Ruijter GJG et al. 2006]
Laboratory findings   L-Pyroglutamic acid (5-Oxoproline) inc (urine)
    5-Oxoprolinase dec (fibroblasts)
    5-Oxoprolinase dec (leucocytes)
Symptomsanemia
    cleft palate
    colitis or enterocolitis
    diarrhea
    failure to thrive
    hypotonia
    mental retardation
    metabolic acidosis
    microcephaly (<2 SD for age)
    no clinical symptoms (probably)
    no consistent clinical picture
    onset, childhood
    onset, infancy
    Organic acids, urine
    pain, abdominal
    renal colic
    respiratory distress
    urolithiasis, nephrolithiasis, kidney stones
    urolithiasis, nephrolithiasis, kidney stones
    vomiting