A Patient Diagnosed with Li-Campeau Syndrome and Biotinidase Deficiency

Müjgan Arslan, H. Özbaş, Şeyma Karakoç, Rüveyda Menekşe Karataş
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Abstract

Biotinidase (BTD) enzyme deficiency is a congenital metabolic disorder with autosomal recessive inheritance. Main symptoms in its deficiency are nervous system and skin manifestations. A 15-month-old patient who was diagnosed with Li-Campeau syndrome, was also diagnosed with BTD deficiency and his clinic rapidly improved with biotin treatment. With the awareness of different clinical presentations of BTD deficiency, patients presenting with clinical symptoms raising the suspicion of this disorder must be evaluated for enzyme activity and genetic analysis must be planned. It is of great importance to keep in mind the possibility of this rare but treatable neurometabolic disorder, even in countries with neonatal screening programme and include it in differential diagnoses in order to prevent irreversible symptoms.
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1例诊断为Li-Campeau综合征和生物素酶缺乏的患者
生物素酶缺乏症是一种常染色体隐性遗传的先天性代谢疾病。其缺乏症主要表现为神经系统和皮肤表现。一名15个月大的患者被诊断为Li-Campeau综合征,也被诊断为BTD缺乏症,他的临床状况在生物素治疗后迅速改善。随着人们对BTD缺乏症不同临床表现的认识,出现怀疑该疾病临床症状的患者必须进行酶活性评估,并计划进行遗传分析。非常重要的是,即使在有新生儿筛查方案的国家,也要牢记这种罕见但可治疗的神经代谢紊乱的可能性,并将其纳入鉴别诊断,以预防不可逆转的症状。
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