Abstract
Very-long-chain acyl-coenzyme A (CoA) dehydrogenase deficiency (VLCADD) (OMIM #201475) is an autosomal recessive disorder of fatty acid oxidation. Major phenotypic expressions are hypoketotic hypoglycemia, hepatomegaly, cardiomyopathy, myopathy, rhabdomyolysis, elevated creatinine kinase, and lipid infiltration of liver and muscle. At the same time, it is a rare cause of Sudden Infant Death Syndrome (SIDS) or unexplained death in the neonatal period [1-4]. We report a patient with VLCADD whose parents were investigated for infanticide because her three previous siblings had suddenly died after normal deliveries.
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
MeSH terms
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Acyl-CoA Dehydrogenase, Long-Chain / deficiency
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Acyl-CoA Dehydrogenase, Long-Chain / genetics
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Congenital Bone Marrow Failure Syndromes
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Consanguinity
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Diagnosis, Differential
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Exons
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Female
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Forensic Genetics
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Heart Septal Defects / diagnostic imaging
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Heart Septal Defects / etiology
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Humans
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Hypertrophy, Left Ventricular / diagnostic imaging
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Hypertrophy, Left Ventricular / etiology
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Infant, Newborn
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Infanticide
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Lipid Metabolism, Inborn Errors
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Metabolism, Inborn Errors / diagnosis*
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Metabolism, Inborn Errors / genetics
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Mitochondrial Diseases / diagnosis*
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Mitochondrial Diseases / genetics
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Muscular Diseases / diagnosis*
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Muscular Diseases / genetics
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Mutation
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Pedigree
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Ultrasonography
Substances
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Acyl-CoA Dehydrogenase, Long-Chain