Jss. Sequeira et al., NIEMANN-PICK DISEASE TYPE-C AND DEFECTIVE PEROXISOMAL BETA-OXIDATION OF BRANCHED-CHAIN SUBSTRATES, Journal of inherited metabolic disease, 21(2), 1998, pp. 149-154
An 18-month-old infant presented with hypotonia, motor delay, hepatosp
lenomegaly, rickets and steatorrhoea. Biochemical investigations revea
led typical features of Niemann-Pick disease type C. In addition, ther
e was evidence of defective peroxisomal beta-oxidation of branched-cha
in substrates (3 alpha,7 alpha,12 alpha-trihydroxycholestanoic acid an
d pristanic acid). The steatorrhoea and fat-soluble vitamin malabsorpt
ion responded well to bile acid therapy. Possible causes for the doubl
e defect are considered.