title: Generalized epimerase deficiency galactosemia.
abstract: Galactosemia is caused by inherited deficiencies in one of three enzymes involved in the metabolism of galactose: galactose-1-phosphate uridyltransferase (GALT), galactokinase (GALK), and uridine diphosphate galactose-4-epimerase (GALE). The rarest and most poorly understood form of galactosemia is due to epimerase deficiency. We are reporting such a rarest form of galactosemia presenting with progressively increasing cholestatic jaundice and failure to thrive at one month of age. After confirmation of decreased epimerase level in RBC hemolysate, the patient was put on galactose restricted diet and vitamins supplementation, which reversed the clinical signs as well as altered liver function. Patient is on regular follow-up and now at 15 months of age he has no marked developmental delay.
authors: Department of Pediatrics, Medical College and Hospital, 88, College Street, Kolkata, India. mihir_iway_2005@sify.com
authors: Mihir
authors: M
authors: Sarkar
authors: Some Suvra
authors: SS
authors: Bose
authors: Gobinda
authors: G
authors: Mondal
authors: Sukanta
authors: S
authors: Chatterjee
mesh_terms: D005693:Galactosemias / Q000175:diagnosis* / Q000201:enzymology; D006801:Humans; D007223:Infant; D008297:Male; D014534:UDPglucose 4-Epimerase / Q000172:deficiency*
chemical_list: D014534:UDPglucose 4-Epimerase