DOAJ Open Access 2021

Complexities of pyridoxine response in PNPO deficiency

Rajni Farmania Ankit Gupta Kumar Ankur Sanjeev Chetry Suvasini Sharma

Abstrak

Pyridox(am)ine- 5- phosphate Oxidase deficiency (PNPO) is a rare cause of neonatal metabolic encephalopathy associated with refractory status epilepticus. We report a case of a premature neonate presenting with drug-resistant seizures beginning at 2 hours of life. The baby showed initial transient response to pyridoxine followed by recurrence. Genetic report confirmed the diagnosis of PNPO deficiency. A literature review on phenotypic variants in terms of response to pyridoxine is also presented along with a proposed algorithm to manage a case of suspected vitamin responsive epilepsy. This case highlights our limited understanding of why variation in response to treatment exists in children with PNPO deficiency.

Penulis (5)

R

Rajni Farmania

A

Ankit Gupta

K

Kumar Ankur

S

Sanjeev Chetry

S

Suvasini Sharma

Format Sitasi

Farmania, R., Gupta, A., Ankur, K., Chetry, S., Sharma, S. (2021). Complexities of pyridoxine response in PNPO deficiency. https://doi.org/10.1016/j.ebr.2021.100443

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Informasi Jurnal
Tahun Terbit
2021
Sumber Database
DOAJ
DOI
10.1016/j.ebr.2021.100443
Akses
Open Access ✓