ATP synthase deficiency due to m.8528T>C mutation - a novel cause of severe neonatal hyperammonemia requiring hemodialysis

Tamara Žigman, Katarina Šikić, Danijela Petković Ramadža, Johannes Mayr (Co-author), Saskia Wortmann (Co-author), Holger Prokisch, Dorotea Ninković, Daniel Dilber, Dalibor Šarić, Filip Rubić, Slobodan Galić, Jasna Slaviček, Dražen Belina, Ksenija Fumić, Ivo Barić

Research output: Contribution to journalCase reportpeer-review

Abstract

OBJECTIVES: Hyperammonemia in a newborn is a serious condition, which requires prompt intervention as it can lead to severe neurological impairment and death if left untreated. The most common causes of hyperammonemia in a newborn are acute liver failure and inherited metabolic disorders. Several mitochondrial disorders have been described as a cause of severe neonatal hyperammonemia.

CASE PRESENTATION: Here we describe a new case of adenosine-triphosphate (ATP) synthase deficiency due to m.8528T>C mutation as a novel cause of severe neonatal hyperammonemia. So far six patients with this mutation have been described but none of them was reported to need hemodialysis in the first days of life.

CONCLUSION: This broadens the so far known differential diagnosis of severe neonatal hyperammonemia requiring hemodialysis.

Original languageEnglish
Pages (from-to)389-393
Number of pages5
JournalJOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM
Volume34
Issue number3
DOIs
Publication statusPublished - 26 Mar 2021

Keywords

  • Diagnosis, Differential
  • Female
  • Humans
  • Hyperammonemia/diagnosis
  • Infant, Newborn
  • Mutation
  • Proton-Translocating ATPases/deficiency
  • Renal Dialysis

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