Heterozygosity for long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency and deterioration in liver function in a newborn infant infected with human immunodeficiency virus.
A child with perinatally acquired human immunodeficiency virus infection had rapidly progressive hepatic dysfunction, as had her older sibling who died. Urinary organic acid studies revealed 3-hydroxydicarboxylic aciduria, and cultured skin fibroblasts had reduced activity of 3-hydroxy-coenzyme A dehydrogenase. The introduction of a low fat diet resulted in marked improvement in clinical status and reversal of the liver disease. This case illustrates the necessity of metabolic evaluation in patients with liver dysfunction, even when other causes of liver dysfunction are present.
Hicks
P
P
Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas 75235, USA.
Bennett
M J
MJ
Squires
J
J
Ramilo
O
O
D000163:Acquired Immunodeficiency Syndrome; D000214:Acyl Coenzyme A / Q000378:metabolism*; D000410:Alanine Transaminase / Q000378:metabolism; D006679:HIV Seropositivity / Q000150:complications / Q000378:metabolism* / Q000503:physiopathology*; D006579:Heterozygote; D006801:Humans; D007231:Infant, Newborn; D008099:Liver / Q000201:enzymology / Q000378:metabolism* / Q000503:physiopathology*; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D008111:Liver Function Tests; D009035:Mothers
D000214:Acyl Coenzyme A; D000410:Alanine Transaminase