Isovaleric Acidemia as a Rare Cause for Bad Obstetric History

Isovaleric acidemia is an inborn error of metabolism, inherited as an autosomal recessive disorder, caused by deficiency of isovalerylCoenzyme A (CoA) dehydrogenase, leading to elevated plasma isovaleric acid and urine isovalerylglycine levels. Isovaleric acidemia is an unusual disorder with an inc...

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Main Authors: Sailatha Ramanujam, Shery Angel, Anuradha Coimbatore Ramachandran, Anu Bhargavi Basker
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2021-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/15434/49124_CE[Ra1]_F[SH]_PF1(JY_SHU)_PFA(JY_AnK_KM)_PN(KM).pdf
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author Sailatha Ramanujam
Shery Angel
Anuradha Coimbatore Ramachandran
Anu Bhargavi Basker
author_facet Sailatha Ramanujam
Shery Angel
Anuradha Coimbatore Ramachandran
Anu Bhargavi Basker
author_sort Sailatha Ramanujam
collection DOAJ
description Isovaleric acidemia is an inborn error of metabolism, inherited as an autosomal recessive disorder, caused by deficiency of isovalerylCoenzyme A (CoA) dehydrogenase, leading to elevated plasma isovaleric acid and urine isovalerylglycine levels. Isovaleric acidemia is an unusual disorder with an incidence of 1:67,000 in India. Parents of the child are assumed to be carriers and the offsprings have a one in four (25%) chance of inheriting the disorder. The present article reports a 33-year-old, Gravida 3 Para 2 Live 0 (G3P2L0) at 38 week + 1 day, with previous two Lower Segment Caesarean Surgery (LSCS) and two neonatal deaths, who delivered a term boy baby with incidental finding of isovaleric acidemia at birth. Isovaleric acidemia could sometimes be a rare case for bad obstetric history and should be considered while evaluating a patient. Also, it is now possible to diagnose the condition by early prenatal tests and even before pregnancy by Preimplantation Genetic Diagnosis (PIGD) and by taking necessary steps.
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spelling doaj.art-cfbab62db94d41d78f76d11264ed1ff02022-12-21T20:37:38ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-09-01159QD01QD0310.7860/JCDR/2021/49124.15434Isovaleric Acidemia as a Rare Cause for Bad Obstetric HistorySailatha RamanujamShery Angel Anuradha Coimbatore RamachandranAnu Bhargavi BaskerIsovaleric acidemia is an inborn error of metabolism, inherited as an autosomal recessive disorder, caused by deficiency of isovalerylCoenzyme A (CoA) dehydrogenase, leading to elevated plasma isovaleric acid and urine isovalerylglycine levels. Isovaleric acidemia is an unusual disorder with an incidence of 1:67,000 in India. Parents of the child are assumed to be carriers and the offsprings have a one in four (25%) chance of inheriting the disorder. The present article reports a 33-year-old, Gravida 3 Para 2 Live 0 (G3P2L0) at 38 week + 1 day, with previous two Lower Segment Caesarean Surgery (LSCS) and two neonatal deaths, who delivered a term boy baby with incidental finding of isovaleric acidemia at birth. Isovaleric acidemia could sometimes be a rare case for bad obstetric history and should be considered while evaluating a patient. Also, it is now possible to diagnose the condition by early prenatal tests and even before pregnancy by Preimplantation Genetic Diagnosis (PIGD) and by taking necessary steps.https://www.jcdr.net/articles/PDF/15434/49124_CE[Ra1]_F[SH]_PF1(JY_SHU)_PFA(JY_AnK_KM)_PN(KM).pdfinborn error of metabolismneonatal deathpregnancy loss
spellingShingle Sailatha Ramanujam
Shery Angel
Anuradha Coimbatore Ramachandran
Anu Bhargavi Basker
Isovaleric Acidemia as a Rare Cause for Bad Obstetric History
Journal of Clinical and Diagnostic Research
inborn error of metabolism
neonatal death
pregnancy loss
title Isovaleric Acidemia as a Rare Cause for Bad Obstetric History
title_full Isovaleric Acidemia as a Rare Cause for Bad Obstetric History
title_fullStr Isovaleric Acidemia as a Rare Cause for Bad Obstetric History
title_full_unstemmed Isovaleric Acidemia as a Rare Cause for Bad Obstetric History
title_short Isovaleric Acidemia as a Rare Cause for Bad Obstetric History
title_sort isovaleric acidemia as a rare cause for bad obstetric history
topic inborn error of metabolism
neonatal death
pregnancy loss
url https://www.jcdr.net/articles/PDF/15434/49124_CE[Ra1]_F[SH]_PF1(JY_SHU)_PFA(JY_AnK_KM)_PN(KM).pdf
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