Journal
JOURNAL OF PEDIATRICS
Volume 140, Issue 6, Pages 778-780Publisher
MOSBY-ELSEVIER
DOI: 10.1067/mpd.2002.123854
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Deficiency of 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) synthase, the only disorder exclusively affecting hepatic ketogenesis, is a cause of hypo-glycemic coma. We report that the diagnosis can be made by typical laboratory findings (hypoketosis, elevated free fatty acids, normal acylcarnitines, specific urinary organic acids) during acute episodes.
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