Treatment of late-onset nonketotic hyperglycinaemia: effectiveness of imipramine and benzoate.
We report a patient with late-onset nonketotic hyperglycinaemia managed with a sequential approach to drug therapy in placebo-controlled therapeutic trials. Partial response to low-protein diet and sodium benzoate and dramatic response to imipramine are demonstrated, with parental scores on the Developmental Behavioural Checklist falling from the 86th centile before treatment to normal with combined benzoate and imipramine therapy.
Wiltshire
E J
EJ
Department of Chemical Pathology, Women's and Children's Hospital, Adelaide, Australia.
Poplawski
N K
NK
Harrison
J R
JR
Fletcher
J M
JM
D001565:Benzoates / Q000627:therapeutic use*; D002675:Child, Preschool; D018592:Cross-Over Studies; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D020158:Hyperglycinemia, Nonketotic / Q000188:drug therapy*; D007099:Imipramine / Q000627:therapeutic use*; D014364:Tryptophan / Q000627:therapeutic use
D001565:Benzoates; D014364:Tryptophan; D007099:Imipramine