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β-酮硫解酶缺乏

Beta-ketothiolase deficiency

定义 英文原文(暂无中文)

A rare, genetic organic aciduria affecting ketone body metabolism and the catabolism of isoleucine and characterized by intermittent ketoacidotic episodes associated with vomiting, dyspnea, tachypnoea, hypotonia, lethargy and coma, with an onset during infancy and usually ceasing by adolescence.

别名

线粒体乙酰乙酰基-辅酶A硫解酶缺乏

基本事实

遗传方式
常染色体隐性
发病年龄
儿童期、婴儿期、新生儿期
患病率
1-9 / 1 000 000(Australia)

相关基因 1

基因名称关联类型
ACAT1acetyl-CoA acetyltransferase 1Disease-causing germline mutation(s) in

临床表型 42

极常见 99–80%8

  • 精神功能异常 HP:0011446
  • 酸中毒 HP:0001941
  • 发热 HP:0001945
  • 高尿酸血症 HP:0002149
  • 酮尿 HP:0002919
  • 代谢性酸中毒 HP:0001942
  • 呼吸过速 HP:0002789
  • 呕吐 HP:0002013

常见 79–30%11

  • 情感淡漠 HP:0000741
  • 昏迷 HP:0001259
  • 咳嗽 HP:0012735
  • 脱水 HP:0001944
  • 腹泻 HP:0002014
  • 日间睡眠增多 HP:0001262
  • 高氨血症 HP:0001987
  • 白细胞增多症 HP:0001974
  • 酮症酸中毒 HP:0001993
  • 意识下降 HP:0004372
  • 血小板增多症 HP:0001894

偶见 29–5%21

  • 磁共振波谱脑代谢成像异常 HP:0012705
  • 焦虑不安 HP:0000713
  • 厌食症 HP:0002039
  • 共济失调 HP:0001251
  • 体味 HP:0500001
  • 水肿 HP:0000969
  • 锥体外系运动障碍 HP:0007308
  • 肝脏肿大 HP:0002240
  • 高血糖 HP:0003074
  • 高血压 HP:0000822
  • 低血糖 HP:0001943
  • 腱反射减弱 HP:0001265
  • 低血压 HP:0002615
  • 肌张力减退 HP:0001252
  • 循环乳酸水平升高 HP:0002151
  • 运动发育迟缓 HP:0001270
  • 口服厌恶 HP:0012523
  • 苍白圈 HP:0000980
  • 癫痫发作 HP:0001250
  • 痉挛 HP:0001257
  • 体重减轻 HP:0001824

罕见 <4–1%2

  • 轻度智力障碍 HP:0001256
  • 重度智力障碍 HP:0010864

近两年的全球研究 38L2

2024/10 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-09开放获取
    Dried Blood Spot-Based Monitoring of Dietary Treatment in Children, Adolescents, and Young Adults with Inherited Disorders of Amino Acid Metabolism: A Four-Year Pilot Study
    Nutrients · DOI · Europe PMC
  • 2026-09
    Ketone metabolism defects in childhood: a spectrum of overlapping presentations and clinical features
    Journal of pediatric endocrinology & metabolism : JPEM · DOI · Europe PMC
  • 2026-08开放获取
    Newborn Screening
  • 2026-08
    Longitudinal biochemical profiles in beta-ketothiolase deficiency: Phase-dependent diagnostic challenges and metabolic variability
    Molecular genetics and metabolism · DOI · Europe PMC
  • 2026-08综述病例报告
    Beta-ketothiolase deficiency: two novel ACAT1 variants and a retrospective study of 76 cases in China
    Molecular genetics and metabolism · DOI · Europe PMC
  • 2026-08开放获取
    The Spanish Uniform Newborn Screening Panel (SUSP): A National Consensus Framework for Harmonized Newborn Screening
    International journal of neonatal screening · DOI · Europe PMC
  • 2026-07病例报告开放获取
    Beta-ketothiolase deficiency with progressive basal ganglia and extra basal ganglia involvement: CT-MRI correlation in a pediatric metabolic encephalopathy: A case report
    Radiology case reports · DOI · Europe PMC
  • 2026-07开放获取
    Integrating telemedicine into nutritional management of infants with inherited metabolic disorders: a pilot study
    Frontiers in pediatrics · DOI · Europe PMC
  • 2026-07开放获取
    Community awareness of genetic disorders associated with consanguineous marriage and acceptance of preventive screening, a cross-sectional study from Saudi Arabia
    Frontiers in genetics · DOI · Europe PMC
  • 2026-05开放获取
    Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Congenital and Developmental Disorders
    Acta medica Philippina · DOI · Europe PMC
  • 2026-05综述开放获取
    Newborn Screening in Saudi Arabia: Brief History, Current Practice, and Future Direction
    International journal of neonatal screening · DOI · Europe PMC
  • 2026-03开放获取
    Two Years of Expanded Newborn Screening in Russia: High-Throughput Detection of Inherited Metabolic Disorders by Tandem Mass Spectrometry with Next-Generation Sequencing Confirmation
    International journal of neonatal screening · 被引 1 · DOI · Europe PMC
  • 2026-02综述开放获取
    Review Article: Overview of Clinical Genetics of Diabetes Mellitus
    Genes · 被引 3 · DOI · Europe PMC
  • 2026-02病例报告开放获取
    Analysis of the clinical phenotype and genotype features of 5 cases of beta-ketothiolase deficiency
    BMC pediatrics · DOI · Europe PMC
  • 2025-12开放获取
    The Swedish National Pediatric Cataract Register (PECARE): Coexisting systemic disorders 2007-2023
    Acta ophthalmologica · DOI · Europe PMC
  • 2025-12开放获取
    Extended Lombardy's Neonatal Screening Dataset
    Scientific data · DOI · Europe PMC
  • 2025-12开放获取
    Clinical and molecular characterization of 14 Egyptian children with fructose-1,6-bisphosphatase deficiency
    Italian journal of pediatrics · DOI · Europe PMC
  • 2025-11综述开放获取
    Implementation Timeframes for the Addition of New Conditions to Newborn Bloodspot Screening Programmes: A Scoping Review
    International journal of neonatal screening · 被引 1 · DOI · Europe PMC
  • 2025-11病例报告开放获取
    Is Beta Ketothiolase Deficiency an Uncommon Disease or an Unsuspected Diagnosis? The Role of Genetic Biochemistry Approaches in Metabolic Acidosis
    Pediatric reports · DOI · Europe PMC
  • 2025-10综述开放获取
    Celebrating 50 Years of Nationwide Newborn Screening in Hungary-Review, Current Situation, and Future Directions
    International journal of neonatal screening · DOI · Europe PMC

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)