title: [Adults with hereditary fructose intolerance: risks of fructose infusion].
abstract: After her first grand mal seizure a 30-year-old woman was given a fructose infusion by an emergency doctor. On admission to hospital she complained of severe nausea. Ultrasonography revealed hepatosplenomegaly and the gamma-GT concentration was raised to 25 U/l. As hyperinsulinism was suspected an oral glucose tolerance test was suggested, but refused by the patient. She reported marked aversion to all sweet foods. Examination of an endoscopically obtained liver biopsy revealed clear reduction in fructoaldolase activity in liver tissue, i.e. the diagnosis of hereditary fructose intolerance. Three of the patient's siblings were also affected. The widespread use of infusion solutions containing sorbitol and fructose has twice proved acutely hazardous in this patient and is generally life-threatening for persons with an inborn error of metabolism whose pathologic status often remains undiagnosed to an adult age.
authors.affiliation: Neurologische Klinik, Heinrich-Lanz-Krankenhauses Mannheim.
authors.forename: I
authors.initials: I
authors.lastname: Steegmanns
authors.forename: M
authors.initials: M
authors.lastname: Rittmann
authors.forename: J R
authors.initials: JR
authors.lastname: Bayerl
authors.forename: R
authors.initials: R
authors.lastname: Gitzelmann
mesh_terms: D000328:Adult; D005260:Female; D005632:Fructose / Q000008:administration & dosage / Q000009:adverse effects*; D005633:Fructose Intolerance / Q000175:diagnosis* / Q000235:genetics; D015318:Fructose Metabolism, Inborn Errors / Q000175:diagnosis*; D005634:Fructose-Bisphosphate Aldolase / Q000032:analysis; D006529:Hepatomegaly; D006801:Humans; D007262:Infusions, Intravenous; D008099:Liver / Q000201:enzymology; D010375:Pedigree; D013163:Splenomegaly; D014463:Ultrasonography; D005723:gamma-Glutamyltransferase / Q000097:blood
chemical_list: D005632:Fructose; D005723:gamma-Glutamyltransferase; D005634:Fructose-Bisphosphate Aldolase
vernacular_title: Erwachsene mit hereditärer Fructoseintoleranz: Gefährdung durch Fructoseinfusion.