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PSEUDO ZELLWEGER -> D-BIFUNCTIONAL PROTEIN DEFICIENCY

PSEUDO ZELLWEGER -> D-BIFUNCTIONAL PROTEIN DEFICIENCY
DBP DEFICIENCY
261515
OMIM = Online Mendelian Inheritance of Men
300
Peroxisomal multifunctional enzyme type 2
5q23.1
E71.3
very rare
autosomal recessive
mutation in the HSD17B4 gene
the reported biochemical aberrations can no longer be explained by a deficiency of this thiolase ... the true defect in this patient is at the level of d-bifunctional protein (DBP) [Ferdinandusse S et al. 2002]
Laboratory findings    Pipecolic acid inc (plasma)
    Very-long-chain fatty acids inc (serum)
Symptoms    dysmorphism
    early death
    neurological deterioration
    onset, childhood
    onset, infancy
    onset, neonatal
    renal cysts
    seizures