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Malformations
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General:
Syndromes and Sequences:
Head
#Zellweger syndrome (cerebrohepatorenal
syndrome):
Zellweger syndrome is a peroxisomal disease with autosomal recessive
transmission. Biochemically it is characterized by abnormal accumulation of very
long chain fatty acid. The peroxisomal Beta-oxidation is impaired and lead to
the accumulation of saturated very long chain (over 22 carbon) fatty acid (VLCFA).
Pathologically, there is migration defect affecting both the cerebral hemisphere
and cerebellar hemisphere. Zellweger syndrome, neonatal adrenoleukodystrophy (NALD),
and infantile Refsum’s disease constitute a disease continuum of peroxisomal
disorders. Migration disorders can be seen in both Zellweger syndrome and, less
severely, in NALD. No malformation has been reported in infantile Refsum’s
disease.
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Comment: KarMing-Fung@ouhsc.edu