Cho Hyun-Seok, Choo Young Kwang, Lee Hong Jin, Lee Hyeon-Soo
Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea.
Korean J Pediatr. 2012 Feb;55(2):58-62. doi: 10.3345/kjp.2012.55.2.58. Epub 2012 Feb 14.
Carnitine (β-hydroxy-γ-trimethylaminobutyric acid) is involved in the transport of long-chain fatty acids into the mitochondrial matrix and the removal of potentially toxic acylcarnitine esters. Transient carnitine transport defect is a rare condition in newborns reported in 1/90,000 live births. In this paper, we describe a case of transient carnitine transport defect found in a premature baby who had prolonged cholestatic jaundice and poor weight gain, and who responded dramatically to oral carnitine supplementation.
肉碱(β-羟基-γ-三甲基氨基丁酸)参与长链脂肪酸转运至线粒体基质以及清除潜在有毒的酰基肉碱酯。短暂性肉碱转运缺陷是新生儿中一种罕见病症,据报道在每90,000例活产婴儿中出现1例。在本文中,我们描述了1例在一名早产婴儿中发现的短暂性肉碱转运缺陷病例,该婴儿患有长期胆汁淤积性黄疸且体重增加缓慢,口服补充肉碱后反应显著。