C. Karcher et al., 3-HYDROXY-3-METHYLGLUTARYL-COENZYME-A LYASE DEFICIENCY PRESENTING AS REYES-SYNDROME IN A 3-YEAR-OLD GIRL, Pediatrie, 48(5), 1993, pp. 385-387
The authors report on one case of 3-hydroxy-3-methylglutaryl-coenzyme
A lyase (HMG-Co A lyase) deficiency in a 3 year-old girl, presenting a
s Reye's syndrome. Urinary organic profile suggested this inherited me
tabolic disease; decreased activity of HMG-Co A lyase was demonstrated
in cultured fibroblasts. The metabolic etiologies of Reye's syndrome
are summarized; clinical, biological, and therapeutic assessment of HM
G Co A lyase deficiency are developed. The pattern of organic aciduria
must be studied in all patients presenting with Reye's syndrome.