RESUMO

We describe a patient with glutaryl-coenzyme A dehydrogenase deficiency, demonstrated by a residual enzyme activity of only 1% in cultured fibroblasts. Although the clinical presentation was typical of glutaric aciduria type I, the urine concentrations of glutaric, glutaconic, and 3-hydroxyglutaric acids remained normal, even during episodes of clinical decompensation. An increased free glutarate level was demonstrated only in cerebrospinal fluid.

Assuntos

Glutaratos/urina , Oxirredutases atuantes sobre Doadores de Grupo CH-CH , Oxirredutases/deficiência , Carnitina/sangue , Carnitina/urina , Diagnóstico Diferencial , Fibroblastos/enzimologia , Glutaratos/sangue , Glutaratos/líquido cefalorraquidiano , Glutaril-CoA Desidrogenase , Humanos , Lactente , Masculino , Pele/patologia