Subscribe to RSS
DOI: 10.1055/s-2007-981484
© Georg Thieme Verlag KG Stuttgart · New York
Isolated Sulfite Oxidase Deficiency in the Newborn: Lactic Acidaemia and Leukoencephalopathy
Publication History
received 10.10.2006
accepted 4.5.2007
Publication Date:
02 July 2007 (online)

Abstract
We report a newborn with progressive leukoencephalopathy and lactic acidaemia, diagnosed with isolated sulfite oxidase deficiency. We show that low plasma total homocysteine (PTHcy) is a valuable early indicator of sulfite oxidase dysfunction, providing a crucial first-line screen, whereas plasma cystine is not always informative in the first few days of life.
Key words
Leukoencephalopathy - lactic acidaemia - sulfite oxidase deficiency - total homocysteine - plasma cystine - SUOX gene
References
- 1 Aukett A, Bennett MJ, Hosking GP. Molybdenum co-factor deficiency: An easily missed inborn error of metabolism. Dev Med Child Neurol. 1988; 30 531-535
- 2 Barbot C, Martins E, Vilarinho L, Dorche C, Cardoso ML. A mild form of infantile isolated sulphite oxidase deficiency. Neuropediatrics. 1995; 26 322-324
- 3 Crofton PM, Hobson EE. Laboratory diagnosis of sulphite oxidase deficiency (Letter of Reply). Eur J Pediatr. 2006; 165 740
- 4 Dublin AB, Hald JK, Wootton-Gorges SL. Isolated sulfite oxidase deficiency: MR imaging features. AJNR Am J Neuroradiol. 2002; 23 484-485
- 5 Eyaid WM, Al Nouri DM, Rashed MS, Al Rifai MT, Al Wakeel AS. An inborn error of metabolism presenting as hypoxic-ischemic insult. Pediatr Neurol. 2005; 32 134-136
-
6 Johnson JL, Duran M.
Molybdenum cofactor deficiency and isolated sulfite oxidase deficiency. In: Scriver CR, Beaudet AL, Valle D, Sly WS, Childs B, Kinzler KW, et al, editors. The Metabolic and Molecular Bases of Inherited Disease 8th edn. New York: McGraw-Hill 2001 p 3163-3177 - 7 Graf WD, Oleinik OE, Jack RM, Weiss AH, Johnson JL. Ahomocystinemia in molybdenum cofactor deficiency. Neurology. 1998; 51 860-862
- 8 Habbal ZM, Touma EH. Positive interference from homocystinuria urine in a spot test for molybdenum cofactor deficiency. Clin Chem. 1995; 41 1056-1057
- 9 Hobson EE, Thomas S, Crofton PM, Murray AD, Dean JC, Lloyd D. Isolated sulphite oxidase deficiency mimics the features of hypoxic ischaemic encephalopathy. Eur J Pediatr. 2005; 164 655-659
- 10 Lupton BA, Hill A, Roland EH, Whitfield MF, Flodmark O. Brain swelling in the asphyxiated term newborn: Pathogenesis and outcome. Pediatrics. 1988; 82 139-146
- 11 Myers RE. Two patterns of perinatal brain damage and their conditions of occurrence. Am J Obstet Gynecol. 1972; 112 246-276
- 12 Refsum H, Smith AD, Ueland PM, Nexo E, Clarke R, McPartline J, Johnston C, Engbaek F, Schneede J, McPartlin C, Scott JM. Facts and recommendations about total homocysteine determinations: an expert opinion. Clin Chem. 2004; 50 3-32
- 13 Rosenblum WI. Neuropathologic changes in a case of sulfite oxidase deficiency. Neurology. 1968; 18 1187-1196
- 14 Sass JO, Nakanishi T, Sato T, Shimizu A. New approaches towards laboratory diagnosis of isolated sulphite oxidase deficiency. Ann Clin Biochem. 2004; 41 157-159
- 15 Tan WH, Eichler FS, Hoda S, Lee MS, Baris H, Hanley CA. et al . Isolated sulfite oxidase deficiency: A case report with a novel mutation and review of the literature. Pediatrics. 2005; 116 757-766
- 16 Van der Klei-van Moorsel JM, Smit LM, Brockstedt M, Jakobs C, Dorche C, Duran M. Infantile isolated sulphite oxidase deficiency: report of a case with negative sulphite test and normal sulphate excretion. Eur J Pediatr. 1991; 150 196-197
Correspondence
Dr. S. N. Basheer
Department of Paediatric Neurology
Room 81, B Floor
Clarendon Wing
Leeds General Infirmary
Belmont Grove
Leeds LS2 9NS
UK
Phone: +44/113/392/69 03
Fax: +44/113/392/57 31
Email: sn.basheer@hey.nhs.uk