Lactic acidosis due to pyruvate carboxylase deficiency
- 1 December 1981
- journal article
- case report
- Published by Wiley in Journal of Inherited Metabolic Disease
- Vol. 4 (1) , 57-58
- https://doi.org/10.1007/bf02263589
Abstract
Two unrelated Canadian Indian infants presented with metabolic acidosis. Lactate, pyruvate, glutamic acid, proline and alanine were greatly elevated in plasma. Urinary excretion of α-ketoglutarate and pyruvate was increased. Pyruvate carboxylase activity was very low in skin fibroblasts and liver. Phosphoenolpyruvate carboxykinase was low in liver. Both infants were unresponsive to several enzyme cofactors, including biotin. Both survive at age 2 years with severe mental retardation.Keywords
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