Recurrent acute pancreatitis associated with propionic acidemia

Recurrent acute pancreatitis associated with propionic acidemia
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DOI:
10.1097/mpg.0b013e3181132252
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发表时间:
2008-09-01
影响因子:
2.9
通讯作者:
Husain, Sohail Z.
Husain, Sohail Z.
中科院分区:
医学4区
文献类型:
--
作者:
Bultron, Gilberto;Seashore, Margretta R.;Husain, Sohail Z.

文献摘要

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丙酸血症(PA)是一种严重的婴幼儿代谢紊乱(1),由线粒体酶丙酰辅酶A羧基酶(PCC)缺陷引起。PA以常染色体隐性遗传方式遗传。患者会出现代谢性酸中毒、酮症、癫痫发作和智力低下。急性胰腺炎是一种潜在威胁生命的炎症性疾病,有许多已知的激发因素,包括代谢紊乱(2,3)。然而,尽管急性胰腺炎与PA(4,5)有关,但复发性急性胰腺炎是罕见的。我们报告一例婴幼儿PA,继发复发性急性胰腺炎。
Propionic acidemia (PA) is a severe metabolic disorder of infants and children (1), resulting from a defect in the mitochondrial enzyme propionyl-coenzyme A carboxylase (PCC). PA is inherited in an autosomal recessive manner. Patients experience metabolic acidosis, ketosis, seizures, and mental retardation. Acute pancreatitis is a potentially life-threatening inflammatory disorder that has many known inciting factors, including metabolic derangements (2,3). However, although acute pancreatitis has been associated with PA (4,5), recurrent acute pancreatitis is rare. We report a case of an infant with PA in whom recurrent acute pancreatitis developed.