D-bifunctional protein deficiency with fetal ascites, polyhydramnios, and contractures of hands and toes.

Nakano, K; Zhang, Z; Shimozawa, N; Kondo, N; Ishii, N; Funatsuka, M; Shirakawa, S; Itoh, M et al. · J Pediatr · 2001

case_report · Level V

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Abstract

Fetal abnormalities including chylous ascites, polyhydramnios, claw hands, and hammer toes were identified in an infant who had a missense mutation R106P and a 52bp deletion in the gene for a peroxisomal beta-oxidation enzyme, D-3-hydroxyacyl-CoA dehydratase/D-3-hydroxyacyl-CoA dehydrogenase, D-bifunctional protein. The patient had psychomotor retardation and craniofacial dysmorphism and died at 7 months of age. The patient had atypical fetal manifestations of this enzyme deficiency.

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