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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Autores principales: Bénédicte Sudrié-Arnaud, Marine Legendre, Sarah Snanoudj, Fanny Pelluard, Soumeya Bekri, Abdellah Tebani
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/a4d4b912c8f94bc299563a6021388e7b
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic UROS
congenital erythropoietic porphyria
Next-Generation Sequencing
hydrops fetalis
bone abnormalities
Genetics
QH426-470
spellingShingle 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
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