An Atypical Case of Congenital Erythropoietic Porphyria
Congenital erythropoietic porphyria (CEP, OMIM #606938) is a severe autosomal recessive inborn error of heme biosynthesis. This rare panethnic disease is due to a deficiency of uroporphyrinogen III synthase (or cosynthase). Subsequently, its substrate, the hydroxymethylbilane is subsequently convert...
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2021
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oai:doaj.org-article:a4d4b912c8f94bc299563a6021388e7b2021-11-25T17:42:28ZAn Atypical Case of Congenital Erythropoietic Porphyria10.3390/genes121118282073-4425https://doaj.org/article/a4d4b912c8f94bc299563a6021388e7b2021-11-01T00:00:00Zhttps://www.mdpi.com/2073-4425/12/11/1828https://doaj.org/toc/2073-4425Congenital erythropoietic porphyria (CEP, OMIM #606938) is a severe autosomal recessive inborn error of heme biosynthesis. This rare panethnic disease is due to a deficiency of uroporphyrinogen III synthase (or cosynthase). Subsequently, its substrate, the hydroxymethylbilane is subsequently converted into uroporphyrinogen I in a non-enzymatic manner. Of note, uroporphyrinogen I cannot be metabolized into heme and its accumulation in red blood cells results in intramedullary and intravascular hemolysis. The related clinical symptoms occur most frequently during antenatal or neonatal periods but may also appear in late adulthood. The main antenatal clinical presentation is a non-immune hydrops fetalis. We report here two cases of antenatal CEP deficiency and a review of the reported cases in the literature.Bénédicte Sudrié-ArnaudMarine LegendreSarah SnanoudjFanny PelluardSoumeya BekriAbdellah TebaniMDPI AGarticleUROScongenital erythropoietic porphyriaNext-Generation Sequencinghydrops fetalisbone abnormalitiesGeneticsQH426-470ENGenes, Vol 12, Iss 1828, p 1828 (2021) |
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UROS congenital erythropoietic porphyria Next-Generation Sequencing hydrops fetalis bone abnormalities Genetics QH426-470 |
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UROS congenital erythropoietic porphyria Next-Generation Sequencing hydrops fetalis bone abnormalities Genetics QH426-470 Bénédicte Sudrié-Arnaud Marine Legendre Sarah Snanoudj Fanny Pelluard Soumeya Bekri Abdellah Tebani An Atypical Case of Congenital Erythropoietic Porphyria |
description |
Congenital erythropoietic porphyria (CEP, OMIM #606938) is a severe autosomal recessive inborn error of heme biosynthesis. This rare panethnic disease is due to a deficiency of uroporphyrinogen III synthase (or cosynthase). Subsequently, its substrate, the hydroxymethylbilane is subsequently converted into uroporphyrinogen I in a non-enzymatic manner. Of note, uroporphyrinogen I cannot be metabolized into heme and its accumulation in red blood cells results in intramedullary and intravascular hemolysis. The related clinical symptoms occur most frequently during antenatal or neonatal periods but may also appear in late adulthood. The main antenatal clinical presentation is a non-immune hydrops fetalis. We report here two cases of antenatal CEP deficiency and a review of the reported cases in the literature. |
format |
article |
author |
Bénédicte Sudrié-Arnaud Marine Legendre Sarah Snanoudj Fanny Pelluard Soumeya Bekri Abdellah Tebani |
author_facet |
Bénédicte Sudrié-Arnaud Marine Legendre Sarah Snanoudj Fanny Pelluard Soumeya Bekri Abdellah Tebani |
author_sort |
Bénédicte Sudrié-Arnaud |
title |
An Atypical Case of Congenital Erythropoietic Porphyria |
title_short |
An Atypical Case of Congenital Erythropoietic Porphyria |
title_full |
An Atypical Case of Congenital Erythropoietic Porphyria |
title_fullStr |
An Atypical Case of Congenital Erythropoietic Porphyria |
title_full_unstemmed |
An Atypical Case of Congenital Erythropoietic Porphyria |
title_sort |
atypical case of congenital erythropoietic porphyria |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/a4d4b912c8f94bc299563a6021388e7b |
work_keys_str_mv |
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1718412122421985280 |