Article
Biallelic pathogenic hydroxymethylbilane synthase gene variants of a neurodegenerative disorder with progressive cystic leukoencephalopathy: a case report.
Journal of medical case reports - 23 Feb 2026
Schacht Gabriel, Elbracht Miriam, Minder Anna-Elisabeth, Stauch Thomas, Stoppe Arzu, Lausberg Eva, Häusler Martin
Abstract excerpt
BACKGROUND: Heterozygous mutations of the hydroxymethylbilane synthase gene can lead to acute intermittent porphyria, with episodic abdominal pain and neuropsychiatric symptoms. The heme precursors 5-aminolevulinic acid and porphobilinogen accumulate due to enzyme deficiency. Case reports of biallelic pathogenic hydroxymethylbilane synthase gene variants are very rare. METHODS: This case report presents a...
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