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5.
Acta pediatr. esp ; 64(6): 286-289, jun. 2006. ilus, tab
Article in Es | IBECS | ID: ibc-049970

ABSTRACT

Se exponen dos casos de tirosinemia tipo I con presentación atípica. El primero se inicia con crisis convulsivas secundarias a hipoglucemias graves. En el estudio metabólico para el diagnóstico de las hipoglucemias se detecta un perfil típico de tirosinemia tipo I en sangre y orina. El segundo caso fue un hallazgo casual en el contexto de un ingreso por bronquitis. Ambos casos siguen tratamiento con 2-(2-nitro-4-trifluorometilbenzoil}-1-3-ciclohexanediona( NTBC) en combinación con dieta con bajo contenido en proteínas naturales suplementas con fórmula especial sin tirosina ni fenilalanina. En la actua.lidad no presentan alteraciones clínico-analíticas ni complicaciones


The authors describe two cases of tyrosinemia type 1 with atypical clinical presentation. The first patient presented with refractory seizure secondary to hypoglycemic episodes. The metabolic study for the differential diagnosis of hypoglycemi, revealed a pattern suggestive of tyrosinemia type I. In the second patient the presence of tyrosinemia was detected during a hospital stayowing to bronchitis. In both cases, treatment with 2-(2-nitro-4, trifluoromethylbenzoyl)-1,3-cyclohexane(NTBC) combine (with a low protein diet supplemented with a tyrosine-and phenylalanine-free formula was prescribed. There have beenn no complications during the follow-up period in either case and, at the present time, the clinical and analytical findings are normal


Subject(s)
Male , Female , Infant , Humans , Tyrosinemias/diagnosis , Bronchitis/complications , Hypoglycemia/complications
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