The diagnosis of mitochondrial HMG-CoA synthase deficiency.

Zschocke, Johannes; Penzien, Johannes M; Bielen, Rainer; Casals, Núria; Aledo, Rosa; Pié, Juan; Hoffmann, Georg F; Hegardt, Fausto G et al. · J Pediatr · 2002

case_report · Level V

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Abstract

Deficiency of 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) synthase, the only disorder exclusively affecting hepatic ketogenesis, is a cause of hypoglycemic coma. We report that the diagnosis can be made by typical laboratory findings (hypoketosis, elevated free fatty acids, normal acylcarnitines, specific urinary organic acids) during acute episodes.

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