β-酮硫解酶缺乏
Beta-ketothiolase deficiency
定义 英文原文(暂无中文)
A rare, genetic organic aciduria affecting ketone body metabolism and the catabolism of isoleucine and characterized by intermittent ketoacidotic episodes associated with vomiting, dyspnea, tachypnoea, hypotonia, lethargy and coma, with an onset during infancy and usually ceasing by adolescence.
别名
线粒体乙酰乙酰基-辅酶A硫解酶缺乏
基本事实
- 遗传方式
- 常染色体隐性
- 发病年龄
- 儿童期、婴儿期、新生儿期
- 患病率
- 1-9 / 1 000 000(Australia)
相关基因 1
| 基因 | 名称 | 关联类型 |
|---|---|---|
| ACAT1 | acetyl-CoA acetyltransferase 1 | Disease-causing germline mutation(s) in |
临床表型 42
极常见 99–80%8
- 精神功能异常 HP:0011446
- 酸中毒 HP:0001941
- 发热 HP:0001945
- 高尿酸血症 HP:0002149
- 酮尿 HP:0002919
- 代谢性酸中毒 HP:0001942
- 呼吸过速 HP:0002789
- 呕吐 HP:0002013
常见 79–30%11
- 情感淡漠 HP:0000741
- 昏迷 HP:0001259
- 咳嗽 HP:0012735
- 脱水 HP:0001944
- 腹泻 HP:0002014
- 日间睡眠增多 HP:0001262
- 高氨血症 HP:0001987
- 白细胞增多症 HP:0001974
- 酮症酸中毒 HP:0001993
- 意识下降 HP:0004372
- 血小板增多症 HP:0001894
偶见 29–5%21
- 磁共振波谱脑代谢成像异常 HP:0012705
- 焦虑不安 HP:0000713
- 厌食症 HP:0002039
- 共济失调 HP:0001251
- 体味 HP:0500001
- 水肿 HP:0000969
- 锥体外系运动障碍 HP:0007308
- 肝脏肿大 HP:0002240
- 高血糖 HP:0003074
- 高血压 HP:0000822
- 低血糖 HP:0001943
- 腱反射减弱 HP:0001265
- 低血压 HP:0002615
- 肌张力减退 HP:0001252
- 循环乳酸水平升高 HP:0002151
- 运动发育迟缓 HP:0001270
- 口服厌恶 HP:0012523
- 苍白圈 HP:0000980
- 癫痫发作 HP:0001250
- 痉挛 HP:0001257
- 体重减轻 HP:0001824
罕见 <4–1%2
- 轻度智力障碍 HP:0001256
- 重度智力障碍 HP:0010864
近两年的全球研究 33L2
2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-07病例报告Beta-ketothiolase deficiency with progressive basal ganglia and extra basal ganglia involvement: CT-MRI correlation in a pediatric metabolic encephalopathy: A case report
- 2026-05Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Congenital and Developmental Disorders
- 2026-05综述开放获取Newborn Screening in Saudi Arabia: Brief History, Current Practice, and Future Direction
- 2026-03开放获取Two Years of Expanded Newborn Screening in Russia: High-Throughput Detection of Inherited Metabolic Disorders by Tandem Mass Spectrometry with Next-Generation Sequencing Confirmation
- 2026-02综述开放获取Review Article: Overview of Clinical Genetics of Diabetes Mellitus
- 2026-02病例报告开放获取Analysis of the clinical phenotype and genotype features of 5 cases of beta-ketothiolase deficiency
- 2025-12开放获取Extended Lombardy's Neonatal Screening Dataset
- 2025-12开放获取Clinical and molecular characterization of 14 Egyptian children with fructose-1,6-bisphosphatase deficiency
- 2025-11综述开放获取Implementation Timeframes for the Addition of New Conditions to Newborn Bloodspot Screening Programmes: A Scoping Review
- 2025-11病例报告开放获取Is Beta Ketothiolase Deficiency an Uncommon Disease or an Unsuspected Diagnosis? The Role of Genetic Biochemistry Approaches in Metabolic Acidosis
- 2025-10综述开放获取Celebrating 50 Years of Nationwide Newborn Screening in Hungary-Review, Current Situation, and Future Directions
- 2025-09病例报告开放获取Beta-ketothiolase deficiency with neurological impairment: a case report
- 2025-09病例报告开放获取Mitochondrial Acetoacetyl-CoA Thiolase Deficiency: Three New Cases Detected by Newborn Screening Confirming the Significance of C4OH Elevation
- 2025-09系统综述开放获取Evaluation of Newborn Screening for Diseases Using C5-OH as a Marker: Systematic Review of the Literature and Evaluation of 17 Years of C5-OH Screening in the Netherlands
- 2025-07开放获取Molecular characterization, clinical phenotype, and neurological outcome of twelve Palestinian children with beta-ketothiolase deficiency: report of two novel variants in the ACAT1 gene
- 2025-06预印本How to interpret stroke-like attacks in the context of mitochondrial disease
- 2025-06病例报告开放获取Delayed Diagnosis of Glutaric Aciduria Type 1: A Case Report
- 2025-06开放获取Hypoxia-inducible factor-1 alpha and nuclear factor erythroid 2-related factor 2 as biomarkers of renal scarring in children with congenital anomalies of the kidney and urinary tract: a prospective case-control study
- 2025-06C4OH-carnitine: an important marker of ketosis in patients with and without inborn errors of metabolism
- 2025-05开放获取Characterization of C5 Acylcarnitines and Related Dicarboxylic Acylcarnitines in Saudi Newborns: Screening, Confirmation, and Cutoff Variation
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)