A Rare Cause of Recurrent Acute Pancreatitis in a Child: Isovaleric Acidemia with Novel Mutation

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SAĞ E., ÇEBI A. H., KAYA G., KARAGUZEL G., Cakir M.

PEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION, cilt.20, sa.1, ss.61-64, 2017 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 1
  • Basım Tarihi: 2017
  • Doi Numarası: 10.5223/pghn.2017.20.1.61
  • Dergi Adı: PEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.61-64
  • Anahtar Kelimeler: Acute, Recurrent, Pancreatitis, Isovaleric acidemia, Child
  • Karadeniz Teknik Üniversitesi Adresli: Evet

Özet

Recurrent acute pancreatic attacks is a rare clinical condition (2-5% of all acute pancreatis) in children and is mainly idiopathic in most cases. Sometimes it may be associated with congenital anomalies, metabolic diseases or hereditary conditions. Isovaleric acidemia (IVA) is a rare autosomal recessive amino acid metabolism disorder associated with isovaleryl coenzyme A dehydrogenase deficiency presenting the clinical findings such metabolic acidosis with increased anion gap, hyperammonemia, ketonemia, hypoglycemia, "the odor of sweaty feet," abdominal pain, vomiting, feeding intolerance, shock and coma. Recurrent acute pancreatitis associated with IVA have been rarely reported. Herein; we report a child who admitted with recurrent acute pancreatic attacks and had the final diagnosis of IVA. Mutation analysis revealed a novel homozygous mutation of (p.E117K [c.349G>A]) in the IVA gene. Organic acidemias must kept in mind in the differential diagnosis of recurrent acute pancreatic attacks in children.