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Slanina AM, Coman AE, Anton-Păduraru DT, Popa E, Barbacariu CL, Novac O, Petroaie AD, Bacușcă AI, Manole M, Cosmescu A. PEX6 Mutation in a Child with Infantile Refsum Disease—A Case Report and Literature Review. Children 2023; 10:children10030530. [PMID: 36980088 PMCID: PMC10047879 DOI: 10.3390/children10030530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 03/11/2023]
Abstract
The aim of this paper is to describe the temporal progression and clinical picture of a 2-year-old child with infantile Refsum disease, as well as the diagnostic procedures performed; this case presented multiple hematologic, metabolic, and developmental complications and progressive disabilities. Genetic testing revealed a mutation of the PEX6 (Peroxisomal Biogenesis Factor 6) gene, and the metabolic profile was consistent with the diagnosis. Particularly, the child also presented altered coagulation factors and developed a spontaneous brain hemorrhage. The clinical picture includes several neurological, ophthalmological, digestive, cutaneous, and endocrine disorders as a result of the very long chain fatty acid accumulation as well as secondary oxidative anomalies. The study of metabolic disorders occurring because of genetic mutations is a subject of core importance in the pathology of children today. The PEX mutations, difficult to identify antepartum, are linked to an array of cell anomalies with severe consequences on the patient’s status, afflicting multiple organs and systems. This is the reason for which our case history may be relevant, including a vast number of symptoms, as well as modified biological parameters.
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Affiliation(s)
- Ana-Maria Slanina
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Adorata-Elena Coman
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Dana-Teodora Anton-Păduraru
- Department of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
- Correspondence:
| | - Elena Popa
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Carmen-Liliana Barbacariu
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Otilia Novac
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Antoneta Dacia Petroaie
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Agnes-Iacinta Bacușcă
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Mihaela Manole
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
| | - Adriana Cosmescu
- Department of Family Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iași 700115, Romania
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