Adult-onset Repeat Rhabdomyolysis with a Very Long-chain Acyl-CoA Dehydrogenase Deficiency Due to Compound Heterozygous ACADVL Mutations

Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL, which encodes VLCAD. The clinical presentation of VLCAD deficiency is heterogeneous, and either a delayed diagnosis or a misdiagnosis may sometimes occur...

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Published inInternal Medicine Vol. 59; no. 21; pp. 2729 - 2732
Main Authors Takahashi, Makio, Sakurai, Takeyo, Sato, Kei, Kaji, Seiji, Nishino, Ichizo, Fukuda, Tokiko, Sugie, Hideo, Fuseya, Yasuhiro, Miyahara, Jun-ichi, Saito, Yoshihiko, Yamashita, Hirofumi
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 01.11.2020
Japan Science and Technology Agency
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ISSN0918-2918
1349-7235
1349-7235
DOI10.2169/internalmedicine.4604-20

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Abstract Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL, which encodes VLCAD. The clinical presentation of VLCAD deficiency is heterogeneous, and either a delayed diagnosis or a misdiagnosis may sometimes occur. We herein describe a difficult-to-diagnose case of the muscle form of adult-onset VLCAD deficiency with compound heterozygous ACADVL mutations including c.790A>G (p.K264E) and c.1246G>A (p.A416T).
AbstractList Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL, which encodes VLCAD. The clinical presentation of VLCAD deficiency is heterogeneous, and either a delayed diagnosis or a misdiagnosis may sometimes occur. We herein describe a difficult-to-diagnose case of the muscle form of adult-onset VLCAD deficiency with compound heterozygous ACADVL mutations including c.790A>G (p.K264E) and c.1246G>A (p.A416T).
Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL , which encodes VLCAD. The clinical presentation of VLCAD deficiency is heterogeneous, and either a delayed diagnosis or a misdiagnosis may sometimes occur. We herein describe a difficult-to-diagnose case of the muscle form of adult-onset VLCAD deficiency with compound heterozygous ACADVL mutations including c.790A>G (p.K264E) and c.1246G>A (p.A416T).
Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL, which encodes VLCAD. The clinical presentation of VLCAD deficiency is heterogeneous, and either a delayed diagnosis or a misdiagnosis may sometimes occur. We herein describe a difficult-to-diagnose case of the muscle form of adult-onset VLCAD deficiency with compound heterozygous ACADVL mutations including c.790A>G (p.K264E) and c.1246G>A (p.A416T).Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL, which encodes VLCAD. The clinical presentation of VLCAD deficiency is heterogeneous, and either a delayed diagnosis or a misdiagnosis may sometimes occur. We herein describe a difficult-to-diagnose case of the muscle form of adult-onset VLCAD deficiency with compound heterozygous ACADVL mutations including c.790A>G (p.K264E) and c.1246G>A (p.A416T).
Author Sugie, Hideo
Miyahara, Jun-ichi
Fuseya, Yasuhiro
Sato, Kei
Sakurai, Takeyo
Saito, Yoshihiko
Takahashi, Makio
Nishino, Ichizo
Fukuda, Tokiko
Yamashita, Hirofumi
Kaji, Seiji
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  fullname: Kaji, Seiji
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  fullname: Nishino, Ichizo
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  fullname: Sugie, Hideo
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  fullname: Fuseya, Yasuhiro
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crossref_primary_10_1007_s13730_023_00804_8
Cites_doi 10.1007/s11154-018-9448-1
10.1212/01.WNL.0000130486.54839.15
10.1002/ana.410430422
10.1097/CND.0000000000000012
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10.1023/A:1005553907216
10.1016/j.ymgme.2008.09.008
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10.1006/mgme.2002.3297
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Keywords ACADVL
rhabdomyolysis
very long-chain acyl-CoA dehydrogenase deficiency
Language English
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Correspondence to Dr. Hirofumi Yamashita, hirofumi@kuhp.kyoto-u.ac.jp
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References_xml – reference: 12. Antunes AP, Nogueira C, Rocha H, Vilarinho L, Evangelista T. Intermittent rhabdomyolysis with adult onset associated with a mutation in the ACADVL gene. J Clin Neuromuscul Dis 15: 69-72, 2013.
– reference: 4. Laforet P, Acquaviva-Bourdain C, Rigal O, et al. Diagnostic assessment and long-term follow-up of 13 patients with Very Long-Chain Acyl-Coenzyme A dehydrogenase (VLCAD) deficiency. Neuromuscul Disord 19: 324-329, 2009.
– reference: 9. Voermans NC, Poels PJ, Kluijtmans LA, van Engelen BG. The effect of dantrolene sodium in Very Long Chain Acyl-CoA dehydrogenase deficiency. Neuromuscul Disord 15: 844-846, 2005.
– reference: 5. Lilleker JB, Keh YS, Roncaroli F, Sharma R, Roberts M. Metabolic myopathies: a practical approach. Pract Neurol 18: 14-26, 2018.
– reference: 2. Arnold GL, Van Hove J, Freedenberg D, et al. A Delphi clinical practice protocol for the management of very long chain acyl-CoA dehydrogenase deficiency. Mol Genet Metab 96: 85-90, 2009.
– reference: 14. Andresen BS, Olpin S, Poorthuis BJ, et al. Clear correlation of genotype with disease phenotype in very-long-chain acyl-CoA dehydrogenase deficiency. Am J Hum Genet 64: 479-494, 1999.
– reference: 7. Smelt AH, Poorthuis BJ, Onkenhout W, et al. Very long chain acyl-coenzyme A dehydrogenase deficiency with adult onset. Ann Neurol 43: 540-544, 1998.
– reference: 11. Ohashi Y, Hasegawa Y, Murayama K, et al. A new diagnostic test for VLCAD deficiency using immunohistochemistry. Neurology 62: 2209-2213, 2004.
– reference: 17. Cairns AP, O'Donoghue PM, Patterson VH, Brown JH. Very-long-chain acyl-coenzyme A dehydrogenase deficiency-a new cause of myoglobinuric acute renal failure. Nephrol Dial Transplant 15: 1232-1234, 2000.
– reference: 15. Fukao T, Watanabe H, Orii K, et al. Myopathic form of very-long chain acyl-coa dehydrogenase deficiency: evidence for temperature-sensitive mild mutations in both mutant alleles in a Japanese girl. Pediatr Res 49: 227-231, 2001.
– reference: 10. Yamamoto F, Nakamagoe K, Yamada K, et al. A case of very-long-chain acyl-coenzyme A dehydrogenase deficiency with novel compound heterozygous mutations. J Neurol Sci 368: 165-167, 2016.
– reference: 18. Murata KY, Sugie H, Nishino I, Kondo T, Ito H. A primigravida with very-long-chain acyl-CoA dehydrogenase deficiency. Muscle Nerve 49: 295-296, 2014.
– reference: 3. Knottnerus SJG, Bleeker JC, Wust RCI, et al. Disorders of mitochondrial long-chain fatty acid oxidation and the carnitine shuttle. Rev Endocr Metab Disord 19: 93-106, 2018.
– reference: 8. Merinero B, Pascual Pascual SI, Perez-Cerda C, et al. Adolescent myopathic presentation in two sisters with very long-chain acyl-CoA dehydrogenase deficiency. J Inherit Metab Dis 22: 802-810, 1999.
– reference: 1. Aoyama T, Uchida Y, Kelley RI, et al. A novel disease with deficiency of mitochondrial very-long-chain acyl-CoA dehydrogenase. Biochem Biophys Res Commun 191: 1369-1372, 1993.
– reference: 16. Takusa Y, Fukao T, Kimura M, et al. Identification and characterization of temperature-sensitive mild mutations in three Japanese patients with nonsevere forms of very-long-chain acyl-CoA dehydrogenase deficiency. Mol Genet Metab 75: 227-234, 2002.
– reference: 6. Ogilvie I, Pourfarzam M, Jackson S, Stockdale C, Bartlett K, Turnbull DM. Very long-chain acyl coenzyme A dehydrogenase deficiency presenting with exercise-induced myoglobinuria. Neurology 44: 467-473, 1994.
– reference: 13. Voermans NC, van Engelen BG, Kluijtmans LA, Stikkelbroeck NM, Hermus AR. Rhabdomyolysis caused by an inherited metabolic disease: very long-chain acyl-CoA dehydrogenase deficiency. Am J Med 119: 176-179, 2006.
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Snippet Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL, which...
Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency is a genetic disorder of fatty acid beta oxidation that is caused by a defect in ACADVL , which...
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SubjectTerms ACADVL
Acyl-CoA dehydrogenase
Acyl-CoA Dehydrogenase, Long-Chain - deficiency
Acyl-CoA Dehydrogenase, Long-Chain - genetics
Adult
Case Report
Congenital Bone Marrow Failure Syndromes - diagnosis
Congenital Bone Marrow Failure Syndromes - genetics
Congenital Bone Marrow Failure Syndromes - physiopathology
Congenital Bone Marrow Failure Syndromes - therapy
Dehydrogenases
Genetic disorders
Genetic Variation
Humans
Internal medicine
Japan
Male
Mutation
Oxidation
Rhabdomyolysis
Rhabdomyolysis - diagnosis
Rhabdomyolysis - etiology
Rhabdomyolysis - physiopathology
Rhabdomyolysis - therapy
very long-chain acyl-CoA dehydrogenase deficiency
Title Adult-onset Repeat Rhabdomyolysis with a Very Long-chain Acyl-CoA Dehydrogenase Deficiency Due to Compound Heterozygous ACADVL Mutations
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