Abstract
A child presenting with mild psychomotor retardation, hypotonia, microcephaly and hyperkinesis is described. Urinary organic acid analysis by combined gas chromatography-mass spectrometry revealed 4-hydroxybutyric aciduria. Succinic semialdehyde dehydrogenase activity in extracts of white cells derived from the patient was less than 10% of control values.
Similar content being viewed by others
Abbreviations
- GABA:
-
gamma aminobutyric acid
References
Fell V, Lee CR, Pollitt RJ (1975) The occurrence of (S)-3,4-Dihydroxy-butyrate in human blood and urine. Biochem Med 13:40–45
Gibson KM, Jansen I, Sweetman L, Nyhan WL, Rating D, Jakobs C, Divry P (1984) 4-Hydroxybutyric aciduria: a new inborn error of metabolism. III. Enzymology and inheritance. J Inherited Metab Dis [Suppl 1] 7:95–96
Haan EA, Brown GK, Mitchell D, Danks DM (1985) Succinic semialdehyde dehydrogenase deficiency — a further case. J Inherited Metab Dis 8:99
Hoffmann G, Sweetman L (1987) 0-(2,3,4,5,6-Pentafluorobenzyl) Oxime-trimethylsilyl ester derivatives for quantitative gas chromatographic and gas chromatographic-mass spectrometric studies of aldehydes, ketones, and oxoacids. J Chromatogr 421:336–343
Jakobs C, Kneer J, Rating D, Hanefeld F, Divry P, Hermier M (1984) 4-Hydroxybutyric aciduria: a new inborn error of metabolism. II. Biochemical Findings. J Inherited Metab Dis [Suppl 1] 7: 92–94
Lee CR (1977) Evidence for the β-oxidation of orally administered 4-hydroxybutyrate in humans. Biochem Med 17:284–291
Rating D, Hanefeld F, Siemes H, Kneer J, Jakobs C, Hermier M, Divry P (1984) 4-Hydroxybutyric aciduria: A new inborn error of metabolism. I. Clinical Review. J Inherited Metab Dis [Suppl 1] 7: 90–92
Snead OC (1977) Gamma hydroxybutyrate. Life Sci 20:1935–1944
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gibson, K.M., Hoffmann, G., Nyhan, W.L. et al. 4-Hydroxybutyric aciduria in a patient without ataxia or convulsions. Eur J Pediatr 147, 529–531 (1988). https://doi.org/10.1007/BF00441983
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00441983