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 language | Undefined/Unknown |
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Pages (from-to) | 396-399 |
Journal | Journal of Neurology, Neurosurgery and Psychiatry |
Volume | 72 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2002 |
Keywords
- AMC wi-buiten