Diagnosis and Management of Classica Homocystinuria in Brazil: A Summary of 72 Late-Diagnosed Patients
J. inborn errors metab. screen
;
6: e180007, 2018. tab, graf
Artigo
em Inglês
|
LILACS-Express
| LILACS
| ID: biblio-1090964
ABSTRACT
Abstract This study described a broad clinical characterization of classical homocystinuria (HCU) in Brazil. This was a cross-sectional, observational study including clinical and biochemical data from 72 patients (60 families) from Brazil (South, n = 13; Southeast, n = 37; Northeast, n = 8; North, n = 1; and Midwest, n = 1). Parental consanguinity was reported in 42% of families. Ocular manifestations were the earliest detected symptom (53% of cases), the main reason for diagnostic suspicion (63% of cases), and the most prevalent manifestation at diagnosis (67% of cases). Pyridoxine responsiveness was observed in 14% of patients. Only 22% of nonresponsive patients on treatment had total homocysteine levels <100 mmol/L. Most commonly used treatment strategies were pyridoxine (93% of patients), folic acid (90%), betaine (74%), vitamin B12 (27%), and low-methionine diet + metabolic formula (17%). Most patients diagnosed with HCU in Brazil are late diagnosed, express a severe phenotype, and poor metabolic control. Milder forms of HCU are likely underrepresented due to underdiagnosis.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
J. inborn errors metab. screen
Assunto da revista:
Medicina Cl¡nica
/
Patologia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Alemanha
Instituição/País de afiliação:
Complexo Hospitalar Materno-Infantil do Maranhão/BR
/
Complexo Hospitalar Professor Edgard Santos/BR
/
Escola Superior de Ciências da Santa Casa de Misericódia de Vitória/BR
/
Hospital da Criança Conceição/BR
/
Hospital das Clínicas de Ribeirão Preto/BR
/
Hospital de Apoio de Brasília/BR
/
Hospital de Clínicas de Porto Alegre/BR
/
Laboratory of Basic Research and Advanced Investigations in Neurosciences (BRAIN)/BR
/
Universidade Estadual de Campinas/BR
/
Universidade Federal de Minas Gerais/BR
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