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婴儿期丙酸血症伴全血细胞减少症

Propionic acidaemia presenting with pancytopaenia in infancy.

作者信息

Sweetman L, Nyhan W L, Cravens J, Zomer Y, Plunket D C

出版信息

J Inherit Metab Dis. 1980;2(3):65-9. doi: 10.1007/BF01801721.

DOI:10.1007/BF01801721
PMID:6796762
Abstract

A 2-month-old infant presented with vomiting, lethargy and pancytopaenia. She was found to have propionic acidaemia, and the activity of propionyl-CoA carboxylase in cultured fibroblasts was defective (McKusick 23200). Abnormal amounts of glycine, 3-hydroxypropionate, methylcitrate, tiglyglycine, propionylglycine, 2-methylacetoacetate, 2-methyl-3-hydroxybutyrate, 3-oxovalerate and 3-hydroxyvalerate were found in body fluids. It appears that the organic acidaemia leads to an inhibition in the maturation of cells in the bone marrow.

摘要

一名2个月大的婴儿出现呕吐、嗜睡和全血细胞减少。她被诊断患有丙酸血症,培养的成纤维细胞中丙酰辅酶A羧化酶的活性存在缺陷(麦库西克23200)。在体液中发现了异常量的甘氨酸、3-羟基丙酸、甲基柠檬酸、惕各酰甘氨酸、丙酰甘氨酸、2-甲基乙酰乙酸、2-甲基-3-羟基丁酸、3-氧代戊酸和3-羟基戊酸。看来这种有机酸血症会导致骨髓中细胞成熟受到抑制。

相似文献

1
Propionic acidaemia presenting with pancytopaenia in infancy.婴儿期丙酸血症伴全血细胞减少症
J Inherit Metab Dis. 1980;2(3):65-9. doi: 10.1007/BF01801721.
2
Dietary treatment and biochemical studies on a neonatal case of propionyl-CoA carboxylase deficiency.
J Inherit Metab Dis. 1982;5(2):121-4. doi: 10.1007/BF01800005.
3
Prenatal diagnosis of propionic acidemia in chorionic villi by direct assay of propionyl CoA carboxylase.通过直接检测丙酰辅酶A羧化酶对绒毛膜绒毛进行丙酸血症的产前诊断。
Prenat Diagn. 1988 Feb;8(2):161-4. doi: 10.1002/pd.1970080211.
4
An unusual late-onset case of propionic acidaemia: biochemical investigations, neuroradiological findings and mutation analysis.
Eur J Pediatr. 1998 Jan;157(1):50-2. doi: 10.1007/s004310050765.
5
Early prenatal diagnosis of propionic acidaemia with simultaneous sampling of chorionic villus and amniotic fluid.通过同时采集绒毛膜绒毛和羊水进行丙酸血症的早期产前诊断。
J Inherit Metab Dis. 1990;13(3):345-8. doi: 10.1007/BF01799391.
6
An 84 bp insertion found in a propionic acidaemia patient is not a disease-causing mutation but a product of cryptic mRNA.
J Inherit Metab Dis. 1999 Jun;22(5):676-7. doi: 10.1023/a:1005506819699.
7
Propionyl-CoA carboxylase deficiency: case report, effect of low-protein diet and identification of 3-oxo-2-methylvaleric acid 3-hydroxy-2-methylvaleric acid, and maleic acid in urine.
Scand J Clin Lab Invest. 1981 Apr;41(2):117-26. doi: 10.3109/00365518109092023.
8
Normal growth and development with unrestricted protein intake after severe infantile propionic acidaemia.严重婴儿丙酸血症后蛋白质摄入不受限情况下的正常生长发育。
J Inherit Metab Dis. 1989;12(3):307-11. doi: 10.1007/BF01799222.
9
A simple isotopic technique for assessing vitamin responsiveness in vivo in propionic acidaemia.
J Inherit Metab Dis. 1990;13(3):349-51. doi: 10.1007/BF01799392.
10
A study of the ultrastructure of the organs and of cultured fibroblasts incubated with isoleucine from a patient with propionic acidemia.
Hum Pathol. 1981 Dec;12(12):1141-8. doi: 10.1016/s0046-8177(81)80336-x.

引用本文的文献

1
Guidelines for the diagnosis and management of methylmalonic acidaemia and propionic acidaemia: First revision.甲基丙二酸血症和丙酸血症的诊断和管理指南:第一版修订。
J Inherit Metab Dis. 2021 May;44(3):566-592. doi: 10.1002/jimd.12370. Epub 2021 Mar 9.
2
Propionic acidemia: clinical course and outcome in 55 pediatric and adolescent patients.丙酸血症:55 例儿科和青少年患者的临床病程和转归。
Orphanet J Rare Dis. 2013 Jan 10;8:6. doi: 10.1186/1750-1172-8-6.
3
Clinical outcome and long-term management of 17 patients with propionic acidaemia.

本文引用的文献

1
FURTHER OBSERVATIONS OF A PATIENT WITH HYPERGLYCINEMIA.一名高甘氨酸血症患者的进一步观察
Pediatrics. 1964 Mar;33:403-12.
2
Idiopathic hyperglycinemia and hyperglycinuria: a new disorder of amino acid metabolism. I.特发性高甘氨酸血症和高甘氨酸尿症:一种新的氨基酸代谢紊乱。I.
Pediatrics. 1961 Apr;27:522-38.
3
An inborn error of short-chain fatty acid metabolism. The odor-of-sweaty-feet syndrome.一种短链脂肪酸代谢的先天性缺陷。汗脚气味综合征。
17例丙酸血症患者的临床结局及长期管理
Eur J Pediatr. 1996 Mar;155(3):205-10. doi: 10.1007/BF01953939.
J Pediatr. 1967 Jan;70(1):8-15. doi: 10.1016/s0022-3476(67)80160-4.
4
Propionicacidemia, a new inborn error of metabolism.丙酸血症,一种新的先天性代谢缺陷病。
Pediatr Res. 1968 Nov;2(6):519-24. doi: 10.1203/00006450-196811000-00010.
5
Inherited propionyl-Coa carboxylase deficiency in "ketotic hyperglycinemia".“酮症性高甘氨酸血症”中的遗传性丙酰辅酶A羧化酶缺乏症。
J Clin Invest. 1971 Jan;50(1):127-30. doi: 10.1172/JCI106466.
6
Propionicacidemia (ketotic hyperglycinemia): dietary treatment resulting in normal growth and development.丙酸血症(酮症性高甘氨酸血症):饮食治疗使生长发育正常。
Pediatrics. 1974 Mar;53(3):391-5.
7
Response to dietary therapy in B 12 unresponsive methylmalonic acidemia.对维生素B12无反应的甲基丙二酸血症患者饮食疗法的反应
Pediatrics. 1973 Mar;51(3):539-48.
8
Isovaleric acidemia: identification of isovalerate, isovalerylglycine, and 3-hydroxyisovalerate in urine of a patient previously reported as having butyric and hexanoic acidemia.异戊酸血症:在一名先前报告患有丁酸血症和己酸血症的患者尿液中鉴定出异戊酸、异戊酰甘氨酸和3-羟基异戊酸。
J Pediatr. 1973 Feb;82(2):243-8. doi: 10.1016/s0022-3476(73)80161-1.
9
Biotin-responsive propionicacidaemia.生物素反应性丙酸血症
Lancet. 1970 Aug 1;2(7666):244-5. doi: 10.1016/s0140-6736(70)92590-0.
10
Deficiency of propionyl-Co A carboxylase and methylcrotonyl-Co A carboxylase in a patient with methylcrotonylglycinuria.一名患有甲基巴豆酰甘氨酸尿症患者体内丙酰辅酶A羧化酶和甲基巴豆酰辅酶A羧化酶缺乏。
Clin Chim Acta. 1977 May 2;76(3):321-8. doi: 10.1016/0009-8981(77)90158-9.