| PEROXISOMAL DISORDERS, NEW TYPE, LIVER | |
| case report: 2 siblings, 5 and 9 years absence of peroxysomes in approx. 90% of hepatocytes variable expression in liver and fibroblasts prenatal diagnosis: amniocytes (?) chorionic villous fibroblasts (?) amniotic fluid (!) | |
| Laboratory findings | Bile acid intermediates inc (plasma) C24:0/C22:0 inc (plasma) C26:0 inc (plasma) C26:0/C22:0 inc (plasma) Phytanic acid inc (plasma) Pipecolic acid inc (plasma) Pristanic acid inc (plasma) Very-long-chain fatty acids inc (serum) |
| Symptoms | athetosis CT, brain, abnormalities [-] hearing defect, deafness hypotonia mental retardation nystagmus onset, childhood Peroxisomes, liver progressive neurologic defect retinitis pigmentosa strabismus |