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一名接受枫糖尿症治疗的新生儿出现异亮氨酸缺乏,临床表现为肠病性肢端皮炎。

Isoleucine Deficiency in a Neonate Treated for Maple Syrup Urine Disease Masquerading as Acrodermatitis Enteropathica.

作者信息

Ross Benjamin, Kumar Manish, Srinivasan Hema, Ekbote Alka V

机构信息

Departments of Neonatology, *Pediatrics and #Clinical Genetics Unit,Christian Medical College, Vellore, Tamilnadu, India. Correspondence to: Dr Benjamin Ross, Department of Neonatology, Christian Medical College, Vellore 632 004, Tamilnadu, India.

出版信息

Indian Pediatr. 2016 Aug 8;53(8):738-40. doi: 10.1007/s13312-016-0922-0.

DOI:10.1007/s13312-016-0922-0
PMID:27567652
Abstract

BACKGROUND

Special diet with restricted branched-chain-amino-acids used for treating maple syrup urine disease can lead to specific amino acid deficiencies.

CASE CHARACTERISTICS

We report a neonate who developed skin lesions due to isoleucine deficiency while using specialised formula.

INTERVENTION/OUTCOME: Feeds were supplemented with expressed breast milk. This caused biochemical and clinical improvement with resolution of skin lesions.

MESSAGE

Breast milk is a valuable and necessary adjunct to specialized formula in maple syrup urine disease to prevent specific amino acid deficiency in the neonatal period.

摘要

背景

用于治疗枫糖尿症的限制支链氨基酸特殊饮食可导致特定氨基酸缺乏。

病例特征

我们报告了一名新生儿,在使用特殊配方奶粉时因异亮氨酸缺乏而出现皮肤病变。

干预措施/结果:通过补充挤出来的母乳进行喂养。这使生化指标和临床症状得到改善,皮肤病变消退。

经验教训

母乳是枫糖尿症特殊配方奶粉的重要且必要的辅助品,可预防新生儿期特定氨基酸缺乏。

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Isoleucine Deficiency in a Neonate Treated for Maple Syrup Urine Disease Masquerading as Acrodermatitis Enteropathica.一名接受枫糖尿症治疗的新生儿出现异亮氨酸缺乏,临床表现为肠病性肢端皮炎。
Indian Pediatr. 2016 Aug 8;53(8):738-40. doi: 10.1007/s13312-016-0922-0.
2
[Acrodermatitis enteropathica-like syndrome secondary to branched-chain amino acid deficiency during treatment of maple syrup urine disease].枫糖尿症治疗期间因支链氨基酸缺乏继发的肠病性肢端皮炎样综合征
Ann Dermatol Venereol. 2006 Apr;133(4):375-9. doi: 10.1016/s0151-9638(06)70919-x.
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Acrodermatitis enteropathica-like syndrome secondary to isoleucine deficiency during treatment of maple syrup urine disease.枫糖尿症治疗期间因异亮氨酸缺乏继发的肠病性肢端皮炎样综合征。
Am J Dis Child. 1993 Sep;147(9):954-6. doi: 10.1001/archpedi.1993.02160330044015.
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[Isolated isoleucine deficiency in diet therapy of a case of maple syrup urine disease].[枫糖尿症一例饮食治疗中单纯异亮氨酸缺乏]
An Esp Pediatr. 1983 Nov;19(5):389-92.
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Acrodermatitis enteropathica-like syndrome secondary to branched-chain amino acid deficiency in inborn errors of metabolism.代谢先天性缺陷中因支链氨基酸缺乏继发的肠病性肢端皮炎样综合征。
Pediatr Dermatol. 2008 May-Jun;25(3):415. doi: 10.1111/j.1525-1470.2008.00707.x.
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Acrodermatitis enteropathica-like eruption during treatment of maple syrup urine disease: report of one case.枫糖尿症治疗期间出现的肠病性肢端皮炎样皮疹:1例报告。
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Acrodermatitis dysmetabolica secondary to isoleucine deficiency in infant with maple syrup urine disease.枫糖尿症婴儿因异亮氨酸缺乏继发的代谢性肢端皮炎。
Dermatol Reports. 2023 Aug 9;15(4):9750. doi: 10.4081/dr.2023.9750. eCollection 2023 Dec 1.

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