Late-onset Very long-chain acyl-CoA dehydrogenase deficiency diagnosis complicated by fulminant myocarditis in adult patient  

作　　者：Martin Gérard Clair Douillard Julien Poissy Mehdi Marzouk Christophe Vinsonneau 

机构地区：[1]Intensive Care Unit,Centre Hospitalier de Bethune-Beuvry,Bethune,France [2]Endocrinology,diabetology,metabolism department,Lille reference centre of inborn errors of metabolism,Lille University Hospital,Lille,France [3]Inserm U1285,CHU Lille,Pôle de réanimation,CNRS,UMR 8576-UGSF-Unitéde Glycobiologie Structurale et Fonctionnelle,Univ.Lille,Lille,France

出　　处：《Journal of Intensive Medicine》2024年第3期400-402,共3页重症医学（英文）

摘　　要：Introduction A 21-year-old woman presented to the emergency department with fatigue,abdominal pain and diarrhea.Her physical activity in school was strictly normal.She had no family medical history and no personal history but reported frequent episodes of nausea and vomiting lasting 2 to 7 days during the past two years,as well as a weight loss of 9 kg due to reactive anorexia(Body Mass Index 17.5),without triggering factors or self-medication.These gastrointestinal symptoms led to the detection of isolated elevated transaminases(aspartate aminotransferase[AST]190 U/L and alanine aminotransferase[ALT]170 U/L);however,the patient did not pursue the proposed etiological investigation.She has been using cannabis once a day for several years,with an increase in consumption over the past year,but no co-intoxication.She reported no other recent change in her habits.

关 键 词：DIAGNOSIS patient ELEVATED 

分 类 号：R542.2[医药卫生—心血管疾病]