National Reyes Syndrome
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INHERITED METABOLIC DISORDERS WHICH
CAN SIMULATE REYE'S SYNDROME

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DEFECTS IN METABOLISM OF LIPIDS:

DISORDERS OF MITOCHONDRIAL FATTY ACID OXIDATION:

Defects in the ß-Oxidation Cycle
- Medium-chain acyl-CoA dehydrogenase deficiency
- Very long chain acyl-CoA dehydrogenase deficiency
- Long chain 3-hydroxyacyl-CoA dehydrogenase deficiency

Defects in Electron Transfer Pathway
-
Multiple acyl-CoA dehydrogenase deficiency- severe and mild
-
Riboflavin responsive multiple acyl-CoA dehydrogenase deficiency

Defects in the Carnitine Cycle
-
Carnitine palmitoyl transferase deficiency types 1 & 11
-
Carnitine acyl-carnitine translocase deficiency
-
Carnitine transporter deficiency (primary carnitine deficiency)

 

DEFECTS IN METABOLISM OF BRANCHED CHAIN AMINO ACIDS (valine, leucine, isoleucine & related organic acidaemias)

- Maple syrup urine disease
- Multiple carboxylase deficiencyIsovaleric acidaemia
- Propionic acidaemia
- Methylmalonic acidaemia
- 3-Hydroxy-3-methylglutaryl-CoA lyase deficiency
- ß-Ketothiolase deficiency (mitochondrial 3-keothiolase deficiency)
- 3-methyl glutaconic aciduria

DEFECTS IN METABOLISM OF CARBOHYDRATES

- Hereditary fructose intolerance

Disorder of Gluconeogenesis
-
Fructose - 1,6-bisphosphatase deficiency

Glycogen Storage Disease
-
GSD Type 1

Disorders of Glycerol Metabolism
-
Glycerol kinase deficiency

DISORDERS OF AMMONIA DETOXIFICATION - UREA CYCLE DEFECTS
-
Ornithine transcarbamylase (OTC) deficiency
-
Carbamoylphosphate synthetase 1 (CPS) deficiency
-
Argininosuccinic aciduria
-
Citrullinaemia
-
HHH syndrome (hyperammonaemia, hyperornithinaemia, homocitrullinuria)

Disorders of Amino Acids Transport
-
Lysinuric protein intolerance (lysine, arginine and ornithine)

Dr. Simon Olpin
Principal Scientist
Sheffield Children's Hospital

6th August 2001

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