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         Fatty Oxidation Disorders:     more detail
  1. Fatty Acid Oxidation: Clinical, Biochemical, and Molecular Aspects (Progress in Clinical and Biological Research) by Kay Tanaka, 1990-07

21. Health Library - Medium Chain Acyl CoA Dehydrogenase Deficiency
Dallas, TX 753670847 Tel (214)696-2188 Fax (214)696-3258 Tel (800)945-2188 Emailmizesg@ix.netcom.com FOD (fatty oxidation disorders) Family Support Group
http://health_info.nmh.org/Library/HealthGuide/IllnessConditions/topic.asp?hwid=

22. Growth Related Issues / Growth Rates / Allergies / Malabsorption Issues
fatty oxidation disorders http//laran.waisman.wisc.edu/fv/www/lib_mcad.htmcontains links and info about fatty acid oxidation issues.
http://members.tripod.com/Greg_Hall_MSSW/ashley/grow.htm
Growth Related Issues growth rates / allergies / malabsorption issues Our child remains very small for her size. However, all women in the family on the father's side are small. We have been unable to find growth charts which take family member size into account. She enjoys eating table food - preferring to feed herself - but at nearly 4 years, she remains on Pediasure to maintain a high calorie intake. You may also wish to check out our g-tube / feeding issues page at http://members. ALLERY RELATED TOPICS http://www.alphanutrition.com/celiac/index.htm by Alpha Nutrition. Food Allergy Network http://www.foodallergy.org/ offers a newsletter and quite a bit of food allergy information. http://www.foodallergy.org:80/questions.html helps clarify the difference between food allergy and food intolerance. Wheat / Gluten free diet info http://www.wwwebguides.com/nutrition/diets/glutenfree/food.html provided by Webguide. (We checked allergy topics when she started falling further below the growth curve in spite of eating on a regular basis.) FEEDING ISSUES Conor's Story http://members.aol.com/lmwill262/page/index8.html

23. Marshfield Clinic Cattails: Wisconsin's Newborn Screening Panel
fatty oxidation disorders, which were added to the screening panelin 2000. Babies with one of seven of these screened disorders
http://www.marshfieldclinic.org/cattails/03/janfeb/default.asp?artID=4

24. Searchalot Directory For Nutrition And Metabolism Disorders
Hypercholesterolemia (5); fatty oxidation disorders (4); Glutaricaciduria(4); Glycogen Storage Disease Type II (4); Hemochromatosis
http://www.searchalot.com/Top/Health/ConditionsandDiseases/NutritionandMetabolis
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25. Directory :: Look.com
and Other Fats (52) CriglerNajjar Syndrome (6) Cystinosis (5) Diabetes (296) FamilialHypercholesterolemia (5) fatty oxidation disorders (4) Glutaricaciduria
http://www.look.com/searchroute/directorysearch.asp?p=413377

26. Health4
Information and support about fatty oxidation disorders, Fatty Acid Disorders,Metabolic Disorders, Newborn Screening and Carnitine Deficiency.
http://www.robolink.co.uk/html/Health/health4/more5.html
Northern Ireland's Definitive Search Engine RoboLink Search: Help RoboLink
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Global Search: Help Top Health Rate it ... Review It General Practice surgery based in Londonderry. This site contains details about the services offered by the surgery, as well as information about the surgery staff, clinics, location and facilities Date: 2002-1-15 Drombane Nursing Home Rate it Review It Specialising in the provision of Top Class Nursing with Tender Loving Care for Convalescent, Medical, Terminal and Frail Elderly Residents Date: 2002-1-20 E-access Bulletin Rate it Review It E-access Bulletin, news and research on technology for the blind and visually impaired Date: 2002-2-1 Fatty Oxidation Disorder Rate it Review It Information and support about Fatty Oxidation Disorders, Fatty Acid Disorders, Metabolic Disorders, Newborn Screening and Carnitine Deficiency Date: 2002-1-27 Gaucher Disease Rate it Review It Information for patients, relatives, doctors and researchers from an independent charity

27. Conference Summary
professionals associated with Phenylketonuria, Organic Acidemia, Maple Syrup UrineDisease, Tyrosinemia, Homocystinuria, fatty oxidation disorders, and Urea
http://www.pku-allieddisorders.org/conference.htm
Home Research Resources Disorders ... FAQ Fun Conference Facts We had approximately 325+ people attend.
Disorders registered: 3MCC, MSUD, PKU, GA,2 MCAD, GA1, Citrullinemia, Carnatine Deficiency Undiagnosed, PPA, MMA, LCHAD, SCHAD/SCAD, TYR, IVA, VLCAD, HCU, CblC, GALT, and CPTII
Attending States : AZ, CA, CT, DE, FL, GA, IA, IL, IN, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NH, NJ, NY, OH, PA, TN, TX, VA, WA, and WI.
Families Attending from the following Countries : US, Iran, Canada, Australia, Brazi,l Germany,
Speakers Attending from : US, Germany, Saudi, Arabia, Ireland Organic Acidemia Association Conference Summary
by Kathy Stagni, Saturday morning brought all the support groups together for one general session on subjects such as self-esteem issues, prevalence of ADHD in metabolic disorders, Federal legislation for metabolic formulas, obtaining metabolic formula reimbursements, the Scott C. Foster Metabolic Research Fund, Gene Therapy update and lastly, a professional panel of most of our speakers answering questions from the audience. NUCDF Member and Citrullinemia Conference Summary
by Theresa Birlson, Mom

28. The Contact A Family Directory - FATTY ACID OXIDATION DISORDERS
A description of fatty acid oxidation disorders and further resources.
http://www.cafamily.org.uk/Direct/f25.html
printer friendly FATTY ACID OXIDATION DISORDERS home more about us in your area conditions information ... how you can help search this site Fatty acids are one of the body's fuels: oxidation is the process by which they are broken down to release energy. This process has many steps, each catalysed by a different enzyme. Fatty acid oxidation disorders result from deficiency of one of these enzymes:
  • Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency
  • Very-long-chain acyl-CoA dehydrogenase (VLCAD) deficiency
  • Short-chain acyl-CoA dehydrogenase (SCAD) deficiency
  • Multiple acyl-CoA dehydrogenase (MAD) deficiency (= Glutaric aciduria type II, GA II)
  • Long-chain hydroxyacyl-CoA dehydrogenase (LCHAD) deficiency
  • Trifunctional protein deficiency
  • Carnitine palmitoyl-transferase I (CPT I) deficiency
  • Carnitine palmitoyl-transferase II (CPT II) deficiency
  • Carnitine acylcarnitine translocase deficiency
  • Primary (systemic) carnitine deficiency
MCAD deficiency is the commonest disorder. Patients with MCAD deficiency are healthy most of the time. Infections or prolonged fasting, however, can lead to drowsiness and coma or sudden death. This can be prevented by avoiding fasting and maintaining a regular intake of sugar during infections - by mouth or intravenously if the child vomits. With this simple management, outcomes are excellent. Patients with other fatty acid oxidation disorders also need to avoid fasting and to maintain a regular sugar intake during infections. Unfortunately, they can have additional problems, such as muscle problems or heart muscle disease. Treatment usually involves a low fat diet.

29. Fatty Acid Oxidation Disorders
Clinical Mass Spectrometry Laboratory Kennedy Krieger Institute 707 North Broadway Baltimore, Md. 21205 fatty Acid oxidation disorders General Review and Biochemistry
http://www.hopkinsmedicine.org/cmsl/FAOD.html
Clinical Mass Spectrometry Laboratory Kennedy Krieger Institute 707 North Broadway Baltimore, Md. 21205 Fatty Acid Oxidation Disorders

30. The Contact A Family Directory - Index L
LCA see Leber's Congenital Amaurosis LCAD see fatty Acid oxidation disorders LCHADsee fatty Acid oxidation disorders LEMS see Myasthenia Gravis and other
http://www.cafamily.org.uk/Idx/l.html
printer friendly home more about us in your area ... how you can help search this site Please use the Index below to access the condition on which you require information. If you do not find what you want in the Index then try our search facility in the navigator on the left. Contact a Family also has information on many other specific conditions and rare disorders. If you cannot find the information you require in The Contact a Family Directory Online , you may wish to use our Contact a Family Helpline service. LCA see Leber's Congenital Amaurosis
LCAD see Fatty Acid Oxidation Disorders
LCHAD see Fatty Acid Oxidation Disorders
LEMS see Myasthenia Gravis and other Myasthenic Syndromes
LIMD see Mitochondrial Cytopathies and Related Disorders
Lactic Acidosis see Metabolic Diseases and see Mitochondrial Cytopathies and Related Disorders
Lafora Body Disease see Metabolic Diseases
Lambert-Eaton Myasthenia Syndrome see Myasthenia Gravis and other Myasthenic Syndromes
Lamellar Ichthyosis see Ichthyosis
Landau-Kleffner Syndrome

Landouzy-Dejerine see Facioscapulohumeral Muscular Dystrophy Landry's Ascending Paralysis see Langer-Giedion Syndrome Langerhans Cell Histiocytosis see Histiocytosis Language Disorder see Speech and Language Impairment Laryngeal Dystonia see Dystonia Laurence-Moon-Bardet-Biedl see Bardet-Biedl Syndrome Laurence-Moon-Biedl see Bardet-Biedl Syndrome Learning Disability Learning Problem see Dyslexia Leber's Amaurosis see Leber's Congenital Amaurosis Leber's Congenital Amaurosis Leber's Optic Atrophy see

31. Newborn Screening Program - MCAD And Other Fatty Acid Oxidation Disorders
MCAD and Other fatty Acid oxidation disorders. It has been demonstrated that thefollowing fatty acid oxidation disorders may be detected using this panel.
http://www.idph.state.il.us/HealthWellness/fs/mcad.htm
MCAD and Other Fatty Acid Oxidation Disorders
Definition
Fatty acid oxidation disorders are a group of inherited metabolic conditions that lead to an accumulation of fatty acids, and a decrease in cell energy metabolism. Each fatty acid oxidation disorder is associated with a specific enzyme defect in the fatty acid metabolic pathway and affects utilization of dietary and stored fat. Newborn screening in Illinois includes testing for a panel of acylcarnitines. It has been demonstrated that the following fatty acid oxidation disorders may be detected using this panel. Short chain acyl-CoA dehydrogenase deficiency (SCAD)
Medium chain acyl-CoA dehydrogenase deficiency (MCAD)
Long chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHAD) or Trifunctional protein deficiency (TFPD)
Very long chain acyl-CoA dehydrogenase deficiency (VLCAD)
Carnitine palmitoyl transferase deficiency type II (CPT II) or Carnitine/acylcarnitine translocase deficiency (CACT)
Glutaric aciduria type II (GA II)/ Multiple acyl-CoA dehydrogenase deficiency (MADD)
Clinical Symptoms
Affected infants can be diagnosed in the neonatal period. Children with MCAD have a significant risk of death during the first, or subsequent clinical episode of hypoglycemia. In the past, these deaths were sometimes attributed to sudden infant death syndrome (SIDS). In most cases, the first episode arises following illness or fasting, and occurs in infancy or early childhood. Fatty acid oxidation disorders can cause recurrent episodes of hypoglycemia; clinical findings may include lethargy, hypotonia, failure to thrive, persistent vomiting, hepatomegaly, rhabdomyolysis and Reye syndrome-like episodes.

32. A Newborn Screening Guide For Parents
fatty Acid oxidation disorders. Babies with fatty acid oxidation disordersmust have regular medical care. Organic Acid disorders.
http://www.idph.state.il.us/HealthWellness/nbsparentguide.htm
A Newborn Screening Guide for Parents
Why does my baby need newborn screening?
Since newborn screening is not a Newborn screening by the Illinois Department of Public Health (IDPH) is required by state law, and every baby born in the state is screened for these rare disorders. As a parent, you may refuse newborn screening only if your religious beliefs and practices do not allow testing. You may be asked to sign a form if you refuse to have your baby tested for these serious disorders.
How will you test my baby?
What disorders are included with newborn screening?
Biotinidase Deficiency Congenital Adrenal Hyperplasia Galactosemia Hypothyroidism ... Phenylketonuria Phenylketonuria (PKU) may occur in one of every 12,000 births. Babies with PKU, an amino acid disorder, cannot properly use a substance found in proteins, phenylalanine. If this problem is not found and treated early, PKU can cause developmental delays and mental retardation. A baby with PKU is given a special formula and diet, and needs regular medical care. Sickle Cell Disease, Trait and Related Conditions

33. Research Mitochondrial Fatty Acid Oxidation Disorders And Cvs Rinaldo
Mitochondrial fatty acid oxidation disorders and CVS Piero Rinaldo, MD Departmentof Genetics, Yale University School of Medicine, New Haven, Connecticut.
http://www.cvsaonline.org/research 1998 symp mitochondrial fao disorders piero r
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Mitochondrial fatty acid oxidation disorders and CVS
Piero Rinaldo, MD
Department of Genetics, Yale University School of Medicine, New Haven, Connecticut
Inherited disorders of fatty acid oxidation are a relatively new and growing class of inborn errors of metabolism. During fasting in a normal individual, decreased blood glucose results in mobilization of fatty acids from adipose tissue. The mobilized fatty acids undergo oxidation to produce energy with the end products of ketones. If there is a blockage in the oxidation of the fatty acids, this results in a lack of energy production and/or a build up of toxic metabolites. One of the clinical syndromes resulting from disorders of fatty acid oxidation can be cyclic vomiting syndrome. These metabolic disorders must be screened for by evaluation of blood and urine samples taken at the peak of an acute episode. To return to the 1998 Symposium Directory Click here
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34. Genetic Disorders : Meddie Health Search
fatty oxidation (4 (Rating 0.00 Votes 0) Rate It. GeneClinics Medical GeneticsKnowledge Base NIH funded, expertauthored descriptions of inherited disorders.
http://www.meddie.com/search/Health/Conditions_and_Diseases/Genetic_Disorders/
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    A discussion of medical information on trisomy, trisomy 13, genetics, and his own personal family experience with this rare disease.
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    NIH funded, expert-authored descriptions of inherited disorders. Covers genetic testing in diagnosis and management and genetic counseling of patients.
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    Lay advocacy groups, support groups, information on genetic conditions and birth defects for professionals, educators and individuals. Disorders from A-Z. (Rating: 0.00 Votes: 0)

35. Health Care Professionals' Guide To Newborn Screening - Fatty Acid Oxidation
fatty Acid oxidation disorders. fatty Acid oxidation disorders (FOD)are a class of inborn errors of metabolism where there is an
http://www.slh.wisc.edu/newborn/guide/fatty-acid-oxidation.shtml
Fatty Acid Oxidation Disorders
Fatty Acid Oxidation Disorders (FOD) are a class of inborn errors of metabolism where there is an enzyme defect in the fatty acid metabolic pathway (use of dietary and stored fat). Clinical symptoms of FOD disorders include hypotonia, lethargy and vomiting; the hypoglycemia can lead to coma, encephalopathy, hepatic failure or death.
Analyte Measured: Acylcarnitine profiling by Tandem Mass Spectrometry
Disorders Reported, Reporting Ranges and Prevalence: Disorder Abbrev. Abnormal
Acylcarnitine (s) uM Prevalence
(estimated) Medium Chain Acyl-CoA Dehydrogenase Deficiency MCAD
Long Chain 3-Hydroxyacyl CoA Dehydrogenase Deficiency LCHAD
Unknown Very Long Chain Acyl-CoA Dehydrogenase Deficiency VLCAD
Unknown Short Chain Acyl-CoA Dehydrogenase Deficiency SCAD
Carnitine Palmitoyltransferase Deficiency Type II CPT-II
Unknown Glutaric Acidemia Type II GA-II 2,4 Dienoyl-CoA Reductase Deficiency

36. The Children's Hospital At Westmead - Professionals - Fatty Acid Oxidation Defec
Can be reliably detected unless the baby is already ill and carnitinedepletedat the time of the test. Other fatty acid oxidation disorders.
http://www.chw.edu.au/prof/services/newborn/fatty_acid_oxidation.htm
Biochemical Genetics
CHISM

CKR

Gene Therapy
... Fatty acid oxidation defects
Fatty acid oxidation defects
Medium-chain acylCoA dehydrogenase (MCAD) deficiency
Clinical features:
Well babies or children who present with vomiting, lethargy proceeding to coma and liver disease in the course of an intercurrent illness such as gastroenteritis or with prolonged fasting. Some patients never have symptoms.
Laboratory tests:
Elevation of octanoyl carnitine is determined using tandem mass spectrometry. Follow-up tests include a DNA test, urine organic acids, and plasma acyl carnitines.
Treatment:
Avoidance of fasting, especially during intercurrent illness, when intravenous glucose may be needed.
Screening considerations:
Can be reliably detected unless the baby is already ill and carnitine-depleted at the time of the test.
Other fatty acid oxidation disorders.
Screening by tandem mass spectrometry can detect many of the fatty acid oxidation disorders including disorders of the carnitine cycle, and short chain and long chain disorders.
Clinical features:
The clinical features in untreated patients vary, and may involve liver disease, skeletal muscle and cardiac muscle disease.

37. Fatty Acid Oxidation
See fatty acid oxidation disorders Return to Mitochondrial pathways Returnto Carnitine disorders Return to Neuromuscular Home Page 2/3/2001
http://www.neuro.wustl.edu/neuromuscular/pathol/diagrams/carnitine.htm
FATTY ACID TRANSPORT From MW King
  • Fatty acids are activated in cytoplasm to Acyl CoA
  • Acyl CoA transport through the mitochondrial membranes
    • Via acyl carnitine intermediate
    • CPT I enzyme in outer mitochondrial membrane
    • CPT II enzyme in inner mitochondrial membrane
  • Fatty acid-CoA in mitochondria is substrate for b -oxidation
FATTY ACID OXIDATION
See: Fatty acid oxidation disorders Return to Mitochondrial pathways
Return to Carnitine disorders
Return to Neuromuscular Home Page

38. Cardiomyopathies
fatty Acid oxidation disorders AcylCoA dehydrogenase deficiencies Acyl-CoA dehydrogenase,short-chain (SCAD) Acyl-CoA dehydrogenase, medium-chain (MCAD) Acyl
http://www.neuro.wustl.edu/neuromuscular/msys/cardiac2.htm

Front
Search Index Links ... Patient Info
CARDIOMYOPATHIES: Genetic
Dilated cardiomyopathy
Fatty acid metabolism disorders

Hypertrophic cardiomyopathy

Long Q-T syndromes
...
Other
Hypertrophic cardiomyopathy
General
Sarcomere proteins

Other cardiac proteins

General
  • Hypertrophic cardiomyopathy: Mechanisms
    • ? Related to inefficiency of ATP utilization Reduced ATP: Interferes with Ca reuptake
    Disorders produced by mutations in Hypertrophic cardiomyopathy: Disorders of sarcomere proteins
    • Cardiac b myosin heavy chain
      l Chromosome 14q11.2-q13; Dominant
      • High QT variability: Especially with Arg403Gln mutation
      • Labile ventricular repolarization
      • Higher risk of sudden death from ventricular arrhythmias than other CMH
      • Degree of cardiac hypertrophy correlates with sudden death risk
    • Cardiac troponin T2
      l Chromosome 1q32; Dominant
    • a -Tropomyosin l Chromosome 15q22; Dominant

39. UMDF Resource Map
fatty Acid oxidation disorders (Betaoxidation,LCAD,LCHAD,MAD/GA-II,MCAD,SCAD)The FOD (fatty acid oxidation Disorder) Network
http://www.umdf.org/resources/index.asp
Resources by Area Resources Click below to find resources for a specific area Click below to search all resources On-Line Support
UMDF Chapters

Support Groups

General Medical
... Submit a Resource General Medical Mitochondrial Related Organizations

40. Mayo Clinic Roch: Pediatrics Staff
Inborn errors of metabolism Mitochondrial fatty acid oxidation disorders Metabolicdisorders misdiagnosed as child abuse Metabolic causes of sudden and
http://www.mayo.edu/pediatrics-rst/staff-pr.html
Pediatric Home Problems Treated Staff Children's Hospital ... Maps Piero Rinaldo, M.D., Ph.D.
Professor of Laboratory Medicine Director, Biochemical Genetics Laboratory Numbers Phone Fax Administrative Assistant Clinical Interests Inborn errors of metabolism
Mitochondrial fatty acid oxidation disorders
Metabolic disorders misdiagnosed as child abuse
Metabolic causes of sudden and unexpected death Patient Care Philosophy You can't diagnose what you don't know. Medical School University of Padova School of Medicine, Padova, Italy, 11/1976 - 11/1982 Residency/Fellowship Residency in Pediatrics, University of Padova School of Medicine, Padova, Italy, 12/1982 - 12/1986 Research Doctorate (Ph.D.) in Developmental Sciences, University of Padova School of Medicine, Padova, Italy, 1/1988 - 12/1992 Committees/Organizations Society for Pediatric Research (Editor, Pediatric Research 1993-1998)
American College of Medical Genetics
American Association for Clinical Chemistry Areas of Research Inherited defects of fatty acid transport as a cause of pediatric fulminant liver failure Postmortem diagnosis of fatty acid oxidation disorders Clinical, biochemical, and molecular characterization of newly discovered metabolic disorders

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