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Atypical adult-onset methylmalonic acidemia and homocystinuria presenting as hemolytic uremic syndrome

dc.contributor.authorNavarro, David
dc.contributor.authorAzevedo, Ana
dc.contributor.authorSequeira, Sílvia
dc.contributor.authorFerreira, Ana Carina
dc.contributor.authorCarvalho, Fernanda
dc.contributor.authorFidalgo, Teresa
dc.contributor.authorVilarinho, Laura
dc.contributor.authorSantos, Maria Céu
dc.contributor.authorCalado, Joaquim
dc.contributor.authorNolasco, Fernando
dc.date.accessioned2019-03-21T12:49:37Z
dc.date.available2019-03-21T12:49:37Z
dc.date.issued2018-01-02
dc.descriptionFree PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5886929/pt_PT
dc.description.abstractThrombotic microangiopathy (TMA) syndromes can be secondary to a multitude of different diseases. Most can be identified with a systematic approach and, when excluded, TMA is generally attributed to a dysregulation in the activity of the complement alternative pathways-atypical hemolytic uremic syndrome (aHUS). We present a challenging case of a 19-year-old woman who presented with thrombotic microangiopathy, which was found to be caused by methylmalonic acidemia and homocystinuria, a rare vitamin B12 metabolism deficiency. To our knowledge, this is the first time that an adult-onset methylmalonic acidemia and homocystinuria presents as TMA preceding CNS involvement.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCEN Case Rep. 2018 May;7(1):73-76. doi: 10.1007/s13730-017-0298-6. Epub 2018 Jan 2pt_PT
dc.identifier.doi10.1007/s13730-017-0298-6pt_PT
dc.identifier.issn2192-4449
dc.identifier.urihttp://hdl.handle.net/10400.18/6264
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007%2Fs13730-017-0298-6pt_PT
dc.subjectMethylmalonic Aciduria and Homocystinuriapt_PT
dc.subjectThrombotic Microangiopathypt_PT
dc.subjectVitamin B12 Metabolismpt_PT
dc.subjectDoenças Genéticaspt_PT
dc.titleAtypical adult-onset methylmalonic acidemia and homocystinuria presenting as hemolytic uremic syndromept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage76pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage73pt_PT
oaire.citation.titleClinical and Experimental Nephrology (CEN) Case Reportspt_PT
oaire.citation.volume7pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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