Treatable Intellectual Disability

β-Ketothiolase Deficiency

DIAGNOSIS

Gene
ACAT1 (AR)

Diagnostic Test
Urine Organic Acids

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SIGNS & SYMPTOMS

Neurological
Neurological/Encephalopathic crisis, stroke, dystonia, basal ganglia lesions (MRIscan)

Non-Neurological
(Pseudo-)diabetes

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THERAPY

Treatment
Avoid Fasting, Sickday Management, Protein Restriction

Level of Evidence
5

Clinical Practice
Standard of Care

Treatment Effect
Prevents metabolic decompensation



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BKetothiolase Deficiency

β-Ketothiolase Deficiency

is a defect of mitochondrial acetoacetyl-CoA thiolase (T2) involving ketone body metabolism and isoleucine catabolism. This disorder is characterized by normal early development followed by a progressive loss of mental and motor skills. It is clinically characterized by intermittent ketoacidotic episodes, with no clinical symptoms between episodes. Ketoacidotic episodes are usually severe and sometimes accompanied by lethargy/coma. Some patients may have neurologicalimpairments as a sequela of these episodes. (Source: Orphanet)

No information available from this source.

This disease is not (yet) listed on their website.