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新生儿精氨琥珀酸尿症一例的病理及生化研究(作者译)

[Pathological and biochemical studies on a neonatal case of argininosuccinic aciduria (author's transl)].

作者信息

Farriaux J P, Dhondt J L, Formstecher P, Martin J J, Pollitt R J, Knit J, Lagrou A, Mardens Y, Fontaine G

出版信息

Acta Neurol Belg. 1976 Jan-Feb;76(1):26-34.

PMID:961372
Abstract

A newborn infant affected by argininosuccinic aciduria was treated with a hypoproteinaemic diet and survived up to the age of three months. Post mortem biochemical studies have confirmed the absence of argininosuccinase activity in kidney, liver and brain and a marked storage of argininosuccinic acid in the brain. The histological study of the central nervous system shows no Alzheimer type II cells; there is neither demyelination nor spongiosis. Such results are totally different from those recorded in untreated cases; they represent very likely the effects of the diet which has controlled the hyperammoniaemia and prevented a deficiency of arginine.

摘要

一名患有精氨琥珀酸尿症的新生儿采用低蛋白饮食进行治疗,并存活至三个月大。尸检生化研究证实,肾脏、肝脏和大脑中不存在精氨琥珀酸酶活性,且大脑中精氨琥珀酸大量蓄积。中枢神经系统的组织学研究显示没有Ⅱ型阿尔茨海默细胞;既没有脱髓鞘也没有海绵样变。这些结果与未治疗病例中记录的结果完全不同;它们很可能代表了控制高氨血症并预防精氨酸缺乏的饮食的效果。

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