Ruffa G, Ferrando M, Sbolgi P, Bartolozzi G, Lavia N
Clinica Pediatrica II G. Gaslini, Università di Genova.
Minerva Pediatr. 1992 Jun;44(6):313-8.
The association of de Toni-Debré-Fanconi syndrome with alteration of galactose metabolism and glycogen hepatic storage, before further clarification, is defined as Fanconi-Bickel syndrome. The Authors present a case in which the alterations in galactose metabolism typically do not affect the enzymes responsible for galactosemia. In such patients a recognised enzymatic defect glycogenosis is not involved and glycogen storage in the liver can be a secondary phenomenon, which can increase, differing according to each subject. Liver biopsy to detect storage can be avoided when all the other diagnostic criteria are observed.
在进一步明确之前,将伴有半乳糖代谢改变和肝糖原贮积的de Toni-Debré-Fanconi综合征关联定义为范科尼-比克尔综合征。作者报告了1例半乳糖代谢改变通常不影响半乳糖血症相关酶的病例。此类患者不存在公认的糖原贮积症酶缺陷,肝脏中的糖原贮积可能是一种继发现象,且因个体不同而有所差异。当所有其他诊断标准均符合时,可避免进行检测贮积情况的肝活检。