Glutaric acidemia type I: Case report in pediatrics

Authors

DOI:

https://doi.org/10.33448/rsd-v13i1.44611

Keywords:

Type I glutaric acidemia; Pediatrics; Metabolism; Case study.

Abstract

Objective: To analyze the diagnosis, evolution and treatment of type I glutaric acidemia in a pediatric patient. Methodology: This research was carried out through a case study, of a descriptive nature, in which the aforementioned pathology and its interfaces in a pediatric patient were evaluated in order to analyze each phase and its most important complications during the treatment period at HUMAP. Results: The patient underwent imaging, laboratory and genetic tests, in the search for a conclusive etiological diagnosis, in addition, the most striking characteristics of AG-I pathology were neurological symptoms, such as changes in tone, axial hypotonia, changes in strength, irritability and epileptic seizures. Conclusion: Patient still undergoing treatment at this institution, maintaining an improvement in irritability and control of epileptic seizures with the use of oxycarbazepime, use of a specific formula with lysine restriction enriched with vitamins and minerals, with significant improvement in the condition, after approximately 30 days.

References

Almeida, F. M. (2007) Resumo Consensus for the nutritional treatment of glutaric aciduria type I Consenso para o tratamento nutricional da acidúria glutárica tipo I Sociedade Portuguesa de Doenças Metabólicas 215. Acta Pediatr Port. 38(5):215-237.

Beauchamp, M. H. Boneh, A. & Anderson, V. (2009) Cognitive, behavioural and adaptive profiles of children with glutaric aciduria type I detected through newborn screening. Journal Inherited Metabolic Disease. 32(1), 207-213.

Bouchereau, J. & Schiff, M. (2020) Inherited Disorders of Lysine Metabolism: A Review. J Nutr. 150(1), 2556S-2560S.

Brown, et al. (2015) Neurodevelopmental Profiles of Children with Glutaric Aciduria Type I Diagnosed by Newborn Screening: A Follow-Up Case Series. Journal Inherited Metabolic Disease Reports, 18, 125-34.

Boy, N. et al. (2015) A cross-sectional controlled developmental study of europsychological functions in patients with glutaric aciduria type I. Orphanet Journal of Rare Diseases. 163, 1-10.

Dres, A. B. et al. (2014) Aciduria glutárica tipo I: Descripción del primer caso clínico nacional. Rev Med Uruguay. 20, 221-227

Ferreira, G. C. et al. (2005) Glutaric acid administration impairs energy metabolism in midbrain and skeletal muscle of young rats. Neurochemical Research. 30, 1123-1131.

Gao, J. et al. (2013) Effects of targeted suppression of glutaryl-CoA dehydrogenase by lentivirus-mediated shRNA and excessive intake of lysine on apoptosis in rat striatal neurons. PloS One. 8(5), e63084.

Harting, I. et al. (2009) Dynamic changes of striatal and extrastriatal abnormalities in glutaric aciduria type I. Brain, 132, 1764–1782.

Heyes, M. P. (2004) Hypothesis: a role for quinolinic acid in the neuropathology of glutaric acidurias and disorders of mitochondrial fattyacid transport and oxidation in Germany. Eur. J. Pediatr. 163, 76-80.

Hoffmann, G.F. Von Kries, R. Klose, D. et al. (2004) Frequencies of inherited organic acidurias and disorders of mitochondrial fattyacid transport and oxidation in Germany. Eur. J. Pediatr. 163, 76-80.

Jafari, P. et al. (2011) The unsolved puzzle of neuropathogenesis in glutaric aciduria type I. Mol Genet Metab. 104(4), 425-37.

Jinherit, M. D. (2011) Diagnóstico e manejo da acidúria glutárica tipo I - recomendações revisadas.

Kolker, S. et al. (2011) Diagnosis and management of glutaric aciduria type I - revised recommendations. J Inherit Metab Dis.

Lobo, A. H. G. et al. (2012) Atenção à Saúde do Recém-Nascido, Biblioteca Virtual em Saúde do Ministério da Saúde.

Lee, C. S. et al. (2013) Promising outcomes in glutaric aciduria type I patients detected by newborn screening. Metab Brain Dis, 28(1), 61-7.

Magni, D. V. et al. (2009) Kinetic characterization of l-[(3)H]glutamate uptake inhibition and increase oxidative damage induced by glutaric acid in striatal synaptosomes of rats. Int J Dev Neurosci, 7, 65-72.

Oliveira, J. G. Sandrini, D. Costa, D. C. Serradilha, A. F. Z. & Parro, M. C. (2008) Triagem neonatal ou Teste do Pezinho: conhecimento, orientações e importância para a saúde do recém-nascido. CuidArte, Enfermagem. 2(1), 71-76.

Pasquetti, M. V. et al. (2017) Impairment of GABAergic system contributes to epileptogenesis in glutaric acidemia type I. Epilepsia, 58(10), 1771-1781.

Sociedade Portuguesa de Pediatria. (2007) Consenso para o tratamento nutricional das acidúria glutárica tipo I. Acta Pediátrisca Portuguesa.

Published

05/01/2024

How to Cite

CRUZ, L. S. da .; BENAVIDES , V. M. S. . Glutaric acidemia type I: Case report in pediatrics. Research, Society and Development, [S. l.], v. 13, n. 1, p. e2513144611, 2024. DOI: 10.33448/rsd-v13i1.44611. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44611. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences