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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 33L2

2024/08 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。

  • 2026-07病例报告
    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
  • 2026-05
    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 · DOI · Europe PMC
  • 2026-02综述开放获取
    Review Article: Overview of Clinical Genetics of Diabetes Mellitus
    Genes · 被引 1 · 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
    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 · 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
  • 2025-09病例报告开放获取
    Beta-ketothiolase deficiency with neurological impairment: a case report
    Annals of medicine and surgery (2012) · DOI · Europe PMC
  • 2025-09病例报告开放获取
    Mitochondrial Acetoacetyl-CoA Thiolase Deficiency: Three New Cases Detected by Newborn Screening Confirming the Significance of C4OH Elevation
    International journal of neonatal screening · DOI · Europe PMC
  • 2025-09系统综述开放获取
    Evaluation of Newborn Screening for Diseases Using C5-OH as a Marker: Systematic Review of the Literature and Evaluation of 17 Years of C5-OH Screening in the Netherlands
    Journal of inherited metabolic disease · 被引 1 · DOI · Europe PMC
  • 2025-07开放获取
    Molecular characterization, clinical phenotype, and neurological outcome of twelve Palestinian children with beta-ketothiolase deficiency: report of two novel variants in the ACAT1 gene
    BMC medical genomics · DOI · Europe PMC
  • 2025-06预印本
    How to interpret stroke-like attacks in the context of mitochondrial disease
    · DOI
  • 2025-06病例报告开放获取
    Delayed Diagnosis of Glutaric Aciduria Type 1: A Case Report
    Cureus · DOI · Europe PMC
  • 2025-06开放获取
    Hypoxia-inducible factor-1 alpha and nuclear factor erythroid 2-related factor 2 as biomarkers of renal scarring in children with congenital anomalies of the kidney and urinary tract: a prospective case-control study
    BMC nephrology · 被引 2 · DOI · Europe PMC
  • 2025-06
    C4OH-carnitine: an important marker of ketosis in patients with and without inborn errors of metabolism
    Molecular genetics and metabolism · 被引 1 · DOI · Europe PMC
  • 2025-05开放获取
    Characterization of C5 Acylcarnitines and Related Dicarboxylic Acylcarnitines in Saudi Newborns: Screening, Confirmation, and Cutoff Variation
    International journal of neonatal screening · 被引 1 · 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)