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GRACILE syndrome

GRACILE syndrome is a severe disorder that begins before birth. GRACILE stands for the condition's characteristic features: growth retardation, aminoaciduria, cholestasis, iron overload, lactic acidosis, and early death.

Descripción

GRACILE syndrome is a severe disorder that begins before birth. GRACILE stands for the condition's characteristic features: growth retardation, aminoaciduria, cholestasis, iron overload, lactic acidosis, and early death.

In GRACILE syndrome, growth before birth is slow (intrauterine growth retardation). Affected newborns are smaller than average and have an inability to grow and gain weight at the expected rate (failure to thrive). A characteristic of GRACILE syndrome is excess iron in the liver, which likely begins before birth. Iron levels may begin to improve after birth, although they typically remain elevated. Within the first day of life, infants with GRACILE syndrome have a buildup of a chemical called lactic acid in the body (lactic acidosis). They also have kidney problems that lead to an excess of molecules called amino acids in the urine (aminoaciduria). Babies with GRACILE syndrome have cholestasis, which is a reduced ability to produce and release a digestive fluid called bile. Cholestasis leads to irreversible liver disease (cirrhosis) in the first few months of life.

Because of the severe health problems caused by GRACILE syndrome, infants with this condition do not survive for more than a few months, and about half die within a few days of birth.

Patrones de herencia

The source lists the following possible inheritance patterns: Autosomal recessive. More than one pattern can apply in different cases.

Otros nombres

Fellman syndrome

Finnish lactic acidosis with hepatic hemosiderosis

Finnish lethal neonatal metabolic syndrome

Growth retardation, amino aciduria, cholestasis, iron overload, lactic acidosis, and early death

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.
  • 3 Apr 2025 | Última versión
  • 1 Mar 2014 | Publicado originalmente

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