Article
Phenotypic and mutation spectrums of Thai patients with isovaleric acidemia.
Pediatrics international : official journal of the Japan Pediatric Society - 1 Dec 2011
Vatanavicharn Nithiwat, Liammongkolkul Somporn, Sakamoto Osamu, Sathienkijkanchai Achara, Wasant Pornswan
Abstract excerpt
BACKGROUND: Isovaleric acidemia (IVA) is an autosomal recessive disorder caused by deficiency of isovaleryl-CoA dehydrogenase (IVD). Clinical features include vomiting, lethargy, metabolic acidosis, and "sweaty feet" odor. The pathognomonic metabolite, isovalerylglycine, is detected on urine organic acid analysis. Clinical diagnosis of IVA can be confirmed on mutation analysis of the IVD gene. METHODS: The cases...
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