Skip to main content
Log in

A new case of short-chain acyl-CoA dehydrogenase deficiency with isolated ethylmalonic aciduria

  • Metabolic Disease
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

A 28-month-old Turkish girl presented with recurrent bronchopneumonia and severe muscular hypotonia. Urinary excretion of ethylmalonic acid was persistently elevated, methylsuccinate appearing only in stress situations. Studies in cultured fibroblasts showed a deficiency of short-chain acyl-CoA dehydrogenase.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

CoA:

co-enzyme A

ETF:

electron transfer flavoprotein

LCAD:

long-chain acyl-CoA dehydrogenase

MCAD:

medium-chain acyl-CoA dehydrogenase

SCAD:

short-chain acyl-CoA dehydrogenase

References

  1. Amendt BA, Greene C, Sweetman L, Cloherty J, Shih V, Moon A, Teel L, Rhead WJ (1987) Short-chain acyl-coenzyme A dehydrogenase deficiency. Clinical and biochemical studies in two patients. J Clin Invest 79: 1303–1309

    PubMed  Google Scholar 

  2. Bennet MJ, Gray RGF, Isherwood DM, Murphy N, Pollitt RJ (1985) The diagnosis and biochemical investigation of a patient with a short chain fatty acid oxidation defect. J Inherited Metab Dis 8 [Suppl 2]: 135–136

    PubMed  Google Scholar 

  3. Burlina AB, Zacchello F, Dionisi-Vici C, Bertini E, Sabetta G, Bennett MJ, Hale DE, Schmidt-Sommerfeld E, Rinaldo P (1991) New clinical phenotype of branched-chain acyl-CoA oxidation defect. Lancet 338: 1522–1523

    Google Scholar 

  4. Coates PM, Hale DE, Finocchiaro G, Tanaka K, Winter SC (1988) Genetic deficiency of short-chain acyl-coenzyme A dehdrogenase in cultured fibroblasts from a patient with muscle carnitine deficiency and severe skeletal muscle weakness. J Clin Invest 81: 171–175

    PubMed  Google Scholar 

  5. DiDonato S, Cornelio F, Gellara C, Peluchetti D, Rimoldi M, Taroni F (1986) Short-chain acyl-CoA dehydrogenase-deficient myopathy with secondary carnitine deficiency. Muscle and Nerve 9: 178

    Google Scholar 

  6. Gregersen N (1984) Fatty acyl-CoA dehydrogenase deficiency: enzyme measurement and studies on alternative metabolism. J Inherited Metab Dis 7 [Suppl 1] 28–32

    PubMed  Google Scholar 

  7. Hale DE, Batshaw ML, Coates PM, Frerman FE, Goodman SI, Singh I, Stanley CA (1985) Long-chain acyl coenzmye A dehydrogenase deficieny: an inherited cause of nonketotic hypoglycemia. Pediatr Res 19: 666–671

    PubMed  Google Scholar 

  8. Hoffmann GF, Hunnemann DH, Jakobs C, Wilichowski E, Eber SW, Hanefeld F, Rating D, Reichmann H (1990) Progressive fatal pancytopenia, psychomotor retardation and muscle carnitine deficiency in a child with ethymalonic aciduria and ethylmalonic acidaemia. J Inherited Metab Dis 13: 337–341

    PubMed  Google Scholar 

  9. Ikeda Y Okamura-Ikeda K, Tanaka K (1985) Purification and characterization of short-chain, medium-chain and long-chain acyl-CoA dehydrogenases from rat liver mitochondria. Isolation of the holo- and apoenzymes and conversion of the apoenzyme to the holoenzyme. J Biol Chem 260: 1311–1325

    PubMed  Google Scholar 

  10. Rinaldo P, O'Shea JJ, Coates PM, Hale DE, Stanley CA, Tanaka K (1988) Medium-chain acyl-CoA dehydrogenase deficiency. Diagnosis by stable-isotope dilution measurement of urinary n-hexanoylglycine and 3-phenylpropionylglycine. N Engl J Med 319: 1308–1313

    PubMed  Google Scholar 

  11. Sewell AC, Böhles JH (1991) 4-Hydroxycyclohexanecarboxylic acid: a rare compound in urinary organic acid analysis. Clin Chem 37: 1301–1302

    Google Scholar 

  12. Stanley CA (1990) Disorders of fatty acid oxidation. In: Fernandes J, Saudubray J-M, Tada K (eds) Inborn metabolic diseases. Diagnosis and treatment. Springer, Berlin Heidelberg New York, pp 395–410

    Google Scholar 

  13. Turnbull DM, Bartlett K, Stevens DL, Alberti KGMM, Gibson GJ, Johnson MA, McCulloch AJ, Sherratt HSA (1984) Short-chain acyl-CoA dehydrogenase deficiency associated with a lipid-storage myopathy and secondary carnitine deficiency. N Engl J Med 311: 1232–1236

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sewell, A.C., Herwig, J., Böhles, H. et al. A new case of short-chain acyl-CoA dehydrogenase deficiency with isolated ethylmalonic aciduria. Eur J Pediatr 152, 922–924 (1993). https://doi.org/10.1007/BF01957531

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01957531

Key words

Navigation