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Expanding the clinical spectrum of 3-phosphoglycerate dehydrogenase deficiency

Tabatabaie, L. ; Klomp, L. W.J. ; Rubio-Gozalbo, M. E. ; Spaapen, L. J.M. ; Haagen, A. A.M. ; Dorland, L. and De Koning, T. J. LU (2011) In Journal of Inherited Metabolic Disease 34(1). p.181-184
Abstract

3-Phosphoglycerate dehydrogenase (3-PGDH) deficiency is considered to be a rare cause of congenital microcephaly, infantile onset of intractable seizures and severe psychomotor retardation. Here, we report for the first time a very mild form of genetically confirmed 3-PGDH deficiency in two siblings with juvenile onset of absence seizures and mild developmental delay. Amino acid analysis showed serine values in CSF and plasma identical to what is observed in the severe infantile form. Both patients responded favourably to relatively low dosages of serine supplementation with cessation of seizures, normalisation of their EEG abnormalities and improvement of well-being and behaviour. These cases illustrate that 3-PGDH deficiency can... (More)

3-Phosphoglycerate dehydrogenase (3-PGDH) deficiency is considered to be a rare cause of congenital microcephaly, infantile onset of intractable seizures and severe psychomotor retardation. Here, we report for the first time a very mild form of genetically confirmed 3-PGDH deficiency in two siblings with juvenile onset of absence seizures and mild developmental delay. Amino acid analysis showed serine values in CSF and plasma identical to what is observed in the severe infantile form. Both patients responded favourably to relatively low dosages of serine supplementation with cessation of seizures, normalisation of their EEG abnormalities and improvement of well-being and behaviour. These cases illustrate that 3-PGDH deficiency can present with mild symptoms and should be considered as a treatable disorder in the differential diagnosis of mild developmental delay and seizures. Synopsis: we present a novel mild phenotype in patients with 3-PGDH deficiency.

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publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Inherited Metabolic Disease
volume
34
issue
1
pages
4 pages
publisher
Springer
external identifiers
  • scopus:79955821436
  • pmid:21113737
ISSN
0141-8955
DOI
10.1007/s10545-010-9249-5
language
English
LU publication?
no
id
dcbd2f45-e7cd-41c6-8bc0-a303dcb10b56
date added to LUP
2020-02-26 10:20:39
date last changed
2024-03-20 06:31:22
@article{dcbd2f45-e7cd-41c6-8bc0-a303dcb10b56,
  abstract     = {{<p>3-Phosphoglycerate dehydrogenase (3-PGDH) deficiency is considered to be a rare cause of congenital microcephaly, infantile onset of intractable seizures and severe psychomotor retardation. Here, we report for the first time a very mild form of genetically confirmed 3-PGDH deficiency in two siblings with juvenile onset of absence seizures and mild developmental delay. Amino acid analysis showed serine values in CSF and plasma identical to what is observed in the severe infantile form. Both patients responded favourably to relatively low dosages of serine supplementation with cessation of seizures, normalisation of their EEG abnormalities and improvement of well-being and behaviour. These cases illustrate that 3-PGDH deficiency can present with mild symptoms and should be considered as a treatable disorder in the differential diagnosis of mild developmental delay and seizures. Synopsis: we present a novel mild phenotype in patients with 3-PGDH deficiency.</p>}},
  author       = {{Tabatabaie, L. and Klomp, L. W.J. and Rubio-Gozalbo, M. E. and Spaapen, L. J.M. and Haagen, A. A.M. and Dorland, L. and De Koning, T. J.}},
  issn         = {{0141-8955}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{1}},
  pages        = {{181--184}},
  publisher    = {{Springer}},
  series       = {{Journal of Inherited Metabolic Disease}},
  title        = {{Expanding the clinical spectrum of 3-phosphoglycerate dehydrogenase deficiency}},
  url          = {{http://dx.doi.org/10.1007/s10545-010-9249-5}},
  doi          = {{10.1007/s10545-010-9249-5}},
  volume       = {{34}},
  year         = {{2011}},
}