ABSTRACT

In a field where even experts may find that years have elapsed since they last encountered a child with a given disorder, it is essential for the clinician to have a comprehensive source of practical and highly illustrated information covering the whole spectrum of metabolic disease to refer to.

The content is divided into sections of related disorders, including disorders of amino acid metabolism, lipid storage disorders, and mitochondrial diseases for ease of reference, with an introductory outline where appropriate summarizing the biochemical features and general management issues. Within the sections, each chapter deals with an individual disease, opening with a useful summary of major phenotypic expression including clear and helpful biochemical pathways, identifying for the reader exactly where the defect occurs.

Throughout the book, plentiful photographs, often showing extremely rare disorders, are an invaluable aid to diagnosis.

Key Features

• Fully updated to incorporate all new developments in the field

• Brand new chapters cover methylmalonic aciduria of ACSF3 deficiency, branched chain keto acid dehydrogenase deficiency, serine deficiencies, purine nucleoside phosphorylase deficiency, antiquitin deficiency, and others

• Excellent and detailed clinical descriptions, with numerous valuable hints and suggestions for management

• Helpful explanatory algorithms and decision trees, and high-quality illustrative material including biochemical pathways and an unrivaled photographic collection, which enhance clinical applicability

The fourth edition of this highly regarded book, authored by two of the foremost authorities in pediatric metabolic medicine, continues to provide incomparable insight into the problems associated with metabolic diseases and remains invaluable to pediatricians, geneticists, and general clinicians worldwide.

part |105 pages

Organic acidemias

chapter |6 pages

Introduction to the organic acidemias

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |11 pages

Propionic acidemia

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |14 pages

Methylmalonic acidemia

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

Cobalamin C, D, F, G diseases; methylmalonic aciduria and variable homocystinuria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |3 pages

The methylmalonic malonic aciduria of deficiency of AcylCoA synthetase (ACSF3)

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Multiple carboxylase deficiency/holocarboxylase synthetase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |10 pages

Multiple carboxylase deficiency/biotinidase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

Isovaleric acidemia

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |12 pages

Glutaric aciduria (type I)

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

3-MethylcrotonylCoA carboxylase deficiency/3-methylcrotonylglycinuria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

D-2-hydroxyglutaric (DL-2-hydroxyglutaric) aciduria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

L-2-hydroxyglutaric aciduria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

4-Hydroxybutyric aciduria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |97 pages

Disorders of amino acid metabolism

chapter |7 pages

Alkaptonuria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |11 pages

Phenylketonuria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |14 pages

Hyperphenylalaninemia and defective metabolism of tetrahydrobiopterin

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |12 pages

Biogenic amines

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |9 pages

Homocystinuria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |12 pages

Maple syrup urine disease (branched-chain oxoaciduria)

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |2 pages

Branched chain keto acid dehydrogenase kinase (BCKDK) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Oculocutaneous tyrosinemia/tyrosine aminotransferase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |9 pages

Hepatorenal tyrosinemia/fumarylacetoacetate hydrolase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |9 pages

Nonketotic hyperglycinemia

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |3 pages

Serine deficiencies

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |58 pages

Hyperammonemia and disorders of the urea cycle

chapter |8 pages

Introduction to hyperammonemia and disorders of the urea cycle

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

Ornithine transcarbamylase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Carbamylphosphate synthetase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Citrullinemia type I

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Argininosuccinic aciduria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Argininemia

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Hyperornithinemia, hyperammonemia, homocitrullinuria syndrome

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Lysinuric protein intolerance

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |4 pages

Glutamine synthetase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |87 pages

Disorders of fatty acid oxidation

chapter |7 pages

Introduction to disorders of fatty acid oxidation

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Carnitine transporter deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Carnitine-acylcarnitine translocase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Carnitine palmitoyl transferase I deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Carnitine palmitoyl transferase II deficiency, lethal neonatal

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

Medium-chain acyl CoA dehydrogenase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Very long-chain acyl-CoA dehydrogenase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Long-chain L-3-hydroxyacyl-CoA dehydrogenase – (trifunctional protein) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Short-chain acyl CoA dehydrogenase (SCAD) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |3 pages

Short-chain 3-hydroxyacylCoA dehydrogenase (SCHAD) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |4 pages

Short/branched-chain acyl-CoA dehydrogenase (2-methylbutyrylCoA dehydrogenase) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |10 pages

Multiple acyl CoA dehydrogenase deficiency/glutaric aciduria type II ethylmalonic-adipic aciduria

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |9 pages

3-Hydroxy-3-methylglutarylCoA lyase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |72 pages

The lactic acidemias and mitochondrial disease

chapter |11 pages

Introduction to lactic acidemias

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Pyruvate carboxylase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Fructose-1,6-diphosphatase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |9 pages

Deficiency of the pyruvate dehydrogenase complex

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

Mitochondrial encephalomyelopathy, lactic acidosis, and stroke-like episodes (MELAS)

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Myoclonic epilepsy and ragged red fiber (MERRF) disease

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Neurodegeneration, ataxia, and retinitis pigmentosa (NARP)

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Kearns–Sayre syndrome

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |6 pages

Pearson syndrome

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |8 pages

The mitochondrial DNA depletion syndromes: mitochondrial DNA polymerase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |45 pages

Disorders of carbohydrate metabolism

chapter |10 pages

Galactosemia

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |4 pages

Glycogen storage diseases: introduction

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |10 pages

Glycogenosis type I – von Gierke disease

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |10 pages

Glycogenosis type II/Pompe/lysosomal α-glucosidase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |9 pages

Glycogenosis type III/amylo-1, 6-glucosidase (debrancher) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |23 pages

Peroxisomal disorders

chapter |10 pages

Adrenoleukodystrophy

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |11 pages

Neonatal adrenoleukodystrophy/disorders of peroxisomal biogenesis

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

part |60 pages

Disorders of purine and pyrimidine metabolism

chapter |1 pages

Introduction to the disorders of purine and pyrimidine metabolism

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |15 pages

Lesch–Nyhan disease and variants

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Adenine phosphoribosyltransferase (APRT) deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Phosphoribosylpyrophosphate synthetase and its abnormalities

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |7 pages

Adenosine deaminase deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop

chapter |5 pages

Adenosine kinase deficiency

ByChristian Staufner

chapter |4 pages

Purine nucleoside phosphorylase deficiency

ByChristian Staufner

chapter |4 pages

Adenylosuccinate lyase deficiency

ByChristian Staufner

chapter |3 pages

Xanthinuria, xanthine oxidase deficiency

ByChristian Staufner

chapter |4 pages

Orotic aciduria

ByChristian Staufner

chapter |5 pages

Molybdenum cofactor deficiency

ByChristian Staufner

part |60 pages

Mucopolysaccharidoses

chapter |3 pages

Introduction to mucopolysaccharidoses

ByChristian Staufner

chapter |9 pages

Sanfilippo disease/mucopolysaccharidosis type III

ByChristian Staufner

chapter |10 pages

Morquio syndrome/mucopolysaccharidosis type IV/keratan sulfaturia

ByChristian Staufner

chapter |5 pages

Sly disease/β-glucuronidase deficiency/mucopolysaccharidosis VII

ByChristian Staufner

part |29 pages

Disorders of cholesterol and neutral lipid metabolism

chapter |11 pages

Familial hypercholesterolemia

ByChristian Staufner

chapter |7 pages

Mevalonic aciduria

ByChristian Staufner

chapter |9 pages

Lipoprotein lipase deficiency/type I hyperlipoproteinemia

ByChristian Staufner

part |107 pages

Lipid storage disorders

chapter |7 pages

Fabry disease

ByChristian Staufner

chapter |8 pages

Tay-Sachs disease/hexosaminidase A deficiency

ByChristian Staufner

chapter |10 pages

Gaucher disease

ByChristian Staufner

chapter |10 pages

Niemann-Pick disease

ByChristian Staufner

chapter |8 pages

Niemann-Pick type C disease/cholesterol-processing abnormality

ByChristian Staufner

chapter |7 pages

Krabbe disease/galactosylceramide lipidosis/globoid cell leukodystrophy

ByChristian Staufner

chapter |5 pages

Fucosidosis

ByChristian Staufner

chapter |7 pages

α-Mannosidosis (β-Mannosidosis)

ByChristian Staufner

chapter |8 pages

Galactosialidosis

ByChristian Staufner

chapter |9 pages

Metachromatic leukodystrophy

ByChristian Staufner

chapter |10 pages

Multiple sulfatase deficiency

ByChristian Staufner

part |53 pages

Miscellaneous

chapter |8 pages

Disorders of vitamin B6 metabolism

ByChristian Staufner

chapter |7 pages

PMM2-CDG (Congenital disorders of glycosylation, type Ia)

ByChristian Staufner

chapter |8 pages

Ethylmalonic encephalopathy

ByChristian Staufner

chapter |6 pages

Disorders of creatine synthesis or transport

ByChristian Staufner

chapter |3 pages

GLUT1 deficiency

ByChristian Staufner

chapter |6 pages

Hypophosphatasia

ByChristian Staufner

chapter |5 pages

NBAS/RALF deficiency

ByChristian Staufner

chapter |7 pages

α1-Antitrypsin deficiency

ByWilliam L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop