3-alpha hydroxyacyl-CoA dehydrogenase deficiency
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The following summary is from Orphanet, a European reference portal for information on rare diseases and orphan drugs.
Orpha Number: 71212
Definition
Hyperinsulinism due to short chain 3 hydroxylacyl-CoA dehydrogenase (SCHAD) deficiency is a recently described mitochondrial fatty acid oxidation disorder characterized by hyperinsulinemic hypoglycemia with seizures, and in one case fulminant hepatic failure.
Epidemiology
Less than 10 cases have been reported to date.
Clinical description
The disease can present in infancy or early childhood. It presents with the manifestations of hyperinsulinemic hypoglycemia with vomiting, lethargy and seizures. Complications include coma and sudden death. It has responded well to diazoxide.
Etiology
It is caused by a mutation in the HADH gene (4q22-q26) encoding the SCHAD protein that has a dual function both as an enzyme and an inhibitor of glutamate dehydrogenase.
Genetic counseling
The mode of inheritance is autosomal recessive and genetic counseling is possible.
Visit the Orphanet disease page for more resources.
Source: GARD Last updated on 05-01-20
Symptoms
Symptoms and their Known Frequencies
100% of people have these symptoms.
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| Decreased activity of 3-hydroxyacyl-CoA dehydrogenase |
| Bile duct proliferation |
80%-99% of people have these symptoms.
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5%-29% of people have these symptoms.
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1%-4% of people have these symptoms.
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An unknown % of people have these symptoms.
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Pittsburgh, PA, 15239 , United States Phone: +1-412-793-8077 Toll Free: 1-888-317-8633 Fax : +1-412-793-6477 Email: info@umdf.org Url: https://www.umdf.org
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