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Long-term outcomes in a 25-year-old female affected with lipin-1 deficiency.


ABSTRACT: Lipin-1 is a phosphatidic acid phosphohydrolase (EC 3.1.3.4) that catalyzes the dephosphorylation of phosphatidic acid to diacylglycerol and inorganic phosphate. Deficiency of this enzyme causes potentially fatal severe, recurrent episodes of rhabdomyolysis triggered by infection. The defect has only recently been recognized so little is known about the long-term outcome in adult patients with this disorder. We report the course and outcome of a 25-year-old female patient with lipin-1 deficiency after a recent episode of rhabdomyolysis requiring intensive care admission with a peak creatine kinase of 500?000?IU/L. One-year post discharge from intensive care, the patient has residual drop foot bilaterally consistent with bilateral common peroneal neuropathies in addition to a background residual distal myopathy.

SUBMITTER: Stepien KM 

PROVIDER: S-EPMC6498837 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Long-term outcomes in a 25-year-old female affected with lipin-1 deficiency.

Stepien Karolina M KM   Schmidt Wolfgang M WM   Bittner Reginald E RE   O'Toole Orna O   McNamara Brian B   Treacy Eileen P EP  

JIMD reports 20190314 1


Lipin-1 is a phosphatidic acid phosphohydrolase (EC 3.1.3.4) that catalyzes the dephosphorylation of phosphatidic acid to diacylglycerol and inorganic phosphate. Deficiency of this enzyme causes potentially fatal severe, recurrent episodes of rhabdomyolysis triggered by infection. The defect has only recently been recognized so little is known about the long-term outcome in adult patients with this disorder. We report the course and outcome of a 25-year-old female patient with lipin-1 deficiency  ...[more]

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