Pediatr. praxi. 2014;15(1):38-41

Rhabdomyolysis as the manifestation of in born energy metabolism error in 2-year-old boy

MUDr.Štěpán Rucki, CSc.1, MUDr.Eva Hrubá2
1 Dětské oddělení Nemocnice Třinec, p. o.
2 Ústav dědičných metabolických poruch, VFN a 1. LF UK, Praha

A case report of 2-year-old boy with relapsing episodes of rhabdomyolysis is presented. The disorder of beta-oxidation of long chain

fatty acid was presumed by the metabolic testing at the Institute of Inherited Metabolic Disorders. The results of further special testing

on the level of enzymes and gene activities led to the diagnosis of the mitochondrial trifunctional protein (MTP) deficit. Various causes

of rhabdomyolysis, its clinical manifestation, diagnostic approach and treatment are listed at a glance in the discussion.

Keywords: rhabdomyolysis, beta-oxidation of long chain fatty acid, mitochondrial trifunctional protein deficiency

Published: February 15, 2014  Show citation

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Rucki Š, Hrubá E. Rhabdomyolysis as the manifestation of in born energy metabolism error in 2-year-old boy. Pediatr. praxi. 2014;15(1):38-41.
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References

  1. Khan FY. Rhabdomyolysis: a review of the literature. Nether J Medic 2009; 67(9): 272-283.
  2. Haug V, Korinthenberg R. Rhabdomyolyse und Myoglobinurie - vershiedene Manifestationen des gleichen Phänomens. Diagnostik und Therapie. Pädiatrische Praxis, 2008; 71(3): 499-514.
  3. Spiekerkoetter U, Khuchua Z, Yue Z, et al. General mitochondrial trifunctional protein (TFP) deficiency as a result of either alpha- or beta-subunit mutations exhibits similar phenotypes because mutations in either subunit alter TFP complex expression and subunit turnover. Pediatr Res 2004; 55: 190-196. Go to original source... Go to PubMed...
  4. Ibdah JA, Tein I, Dionisi-Vici C, et al. Mild trifunctional protein deficiency is associated with progressive neuropathy and myopathy and suggests a novel genotype-phenotype correlation. J Clin Invest 1998; 102(6): 1193-1199. Go to original source... Go to PubMed...
  5. Eskelin P, Tyni T. LCHAD and MTP Deficiencies - Two disorders of mitochondrial fatty beta-oxidation with unusual features. Current Pediatric Reviews, 2007; 3(1): 53-59 (7). Go to original source...




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