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Videre diagnostisk utredning.pdf - Oslo universitetssykehus

Videre diagnostisk utredning.pdf - Oslo universitetssykehus

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LCHAD<br />

Trifunksjonelt protein-defekt<br />

• Nyfødtscreening: C16OHcarnitin,<br />

C18:1-carnitin<br />

• Glukose urinsyre, ammoniakk,<br />

leverprøver, hjertemarkører,<br />

CK, laktat, S/B<br />

• Oppfølgende analyser:<br />

– U- organiske syrer: div.<br />

dikarboksylsyrer<br />

– S-carnitin,tot, fri<br />

– S-FFA/3-HB (P-glucose)<br />

– P-Acylcarnitiner:<br />

• C16, C18:1, C18:2-OH.<br />

– Fettomsetning i lymfocytter<br />

– Enzymanalyse, fibroblaster<br />

– Genetiske analyser<br />

resp.kjeden<br />

MAD<br />

acyl-CoA<br />

VLCAD<br />

MCAD<br />

SCAD<br />

enoyl-CoA<br />

TFP<br />

3-OH-acyl-CoA<br />

TFP<br />

LCHAD<br />

SCHAD<br />

3-keto-acyl-CoA<br />

TFP<br />

Thiloase<br />

acyl-CoA + acetyl-CoA

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