A new defect of peroxisomal function involving pristanic acid: a case report

B.N. McLean, J. Allen, S. Ferdinandusse, R.J.A. Wanders

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Abstract

AN adult onset novel disorder of peroxisomal function is described, characterised by retinitis pigmentosa resulting in progressive visual failure, learning difficulties, a peripheral neuropathy, and hypogonadism. The defect results in accumulation of pristanic acid, and the bile acid intermediates, dihydroxycholestanoic and trihydroxycholestanoic acid, and is due to a deficiency of alpha-methylacyl-CoA racemase, making this the first fully characterised description of this defect. Screening of patients with retinitis pigmentosa should be extended to include pristanic acid and/or bile acid intermediate concentrations, as dietary measures offer a potential treatment for the disorder
Original languageUndefined/Unknown
Pages (from-to)396-399
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume72
Issue number3
DOIs
Publication statusPublished - 2002

Keywords

  • AMC wi-buiten

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