Generalized epimerase deficiency galactosemia.
Indian J Pediatr
; 2010 Aug; 77(8): 909-910
Article
in En
| IMSEAR
| ID: sea-142661
ABSTRACT
Galactosemia is caused by inherited deficiencies in one of three enzymes involved in the metabolism of galactose galactose- 1-phosphate uridyltransferase (GALT), galactokinase (GALK), and uridine diphosphate galactose-4-epimerase (GALE). The rarest and most poorly understood form of galactosemia is due to epimerase deficiency. We are reporting such a rarest form of galactosemia presenting with progressively increasing cholestatic jaundice and failure to thrive at one month of age. After confirmation of decreased epimerase level in RBC hemolysate, the patient was put on galactose restricted diet and vitamins supplementation, which reversed the clinical signs as well as altered liver function. Patient is on regular follow-up and now at 15 months of age he has no marked developmental delay.
Key words
Full text:
1
Index:
IMSEAR
Main subject:
UDPglucose 4-Epimerase
/
Humans
/
Male
/
Galactosemias
/
Infant
Language:
En
Journal:
Indian J Pediatr
Year:
2010
Type:
Article