The treatment of congenital lactic acidoses.

Abstract:

:Congenital lactic acidoses form a heterogeneous group of disorders: this paper considers primarily defects of the pyruvate dehydrogenase complex and the respiratory chain. Attempts to treat these disorders are hampered by uncertainty concerning the pathophysiology and by the central role of the enzymes in cellular metabolism. Few strategies are of proven efficacy, though many have been tried, including dietary manipulation, enhancement of residual enzyme activity, artificial electron acceptors and free-radical scavengers. Evaluation of treatment is complicated by the rarity, heterogeneity and unpredictable course of the diseases. Double-blind placebo-controlled trials are needed.

journal_name

J Inherit Metab Dis

authors

Morris AA,Leonard JV

doi

10.1007/BF01799117

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

573-80

issue

4

eissn

0141-8955

issn

1573-2665

journal_volume

19

pub_type

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