Dihydropyrimidinase deficiency, a progressive neurological disorder?

Abstract:

:A case of a child presenting with congenital abnormalities at birth is reported. The early development remained severely retarded and acquired skills minimally. The head circumference centile decreased. Magnetic resonance imaging showed progressive neuronal atrophy and secondary delay in myelination. Dihydropyrimidine concentrations in body fluids were quantitated by NMR spectroscopy. Enzymatic assay in the liver biopsy revealed total deficiency of dihydropyrimidinase (DHP) (5,6-dihydropyrimidine amidohydrolase; EC 3.5.2.2). As such, the patient is the first with enzymatically proven DHP deficiency. Thus far dihydropyrimidinuria has been reported in three other patients with a variety of neurological abnormalities. A relation of the enzyme deficiency with the neurodegenerative clinical course in our patient is suggested.

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Putman CW,Rotteveel JJ,Wevers RA,van Gennip AH,Bakkeren JA,De Abreu RA

doi

10.1055/s-2007-973681

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

106-10

issue

2

eissn

0174-304X

issn

1439-1899

journal_volume

28

pub_type

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