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Disturbed adrenocortical function in cerebro-hepato-renal syndrome of Zellweger

โœ Scribed by L. Govaerts; L. Monnens; T. Melis; F. Trijbels


Publisher
Springer
Year
1984
Tongue
English
Weight
248 KB
Volume
143
Category
Article
ISSN
0340-6997

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โœฆ Synopsis


An ACTH stimulation test was performed in six patients suffering from the cerebro-hepato-renal syndrome of Zellweger. In contrast to controls, no rise in cortisol was observed. None of these patients showed clinical symptoms of adrenal insufficiency. The sudden death, which occurs in this syndrome, can probably be explained by an impaired stress reaction. In stress situations, such as respiratory infection, corticosteroids should be administered to these patients.

A striking resemblance exists between the Zwellweger syndrome and the neonatal form of adrenoleukodystrophy.


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We have analyzed the phospholipid composition of various organs of patients with the cerebro-hepato-renal (Zellweger) syndrome. The phospholipid composition of tissues from controls and patients was very similar except for their plasmalogen contents. In controls about 50% of the phosphatidylethanola