Recurrent hypoglycemia associated with glutaric aciduria type II in an adult.

@article{Dusheiko1979RecurrentHA,
  title={Recurrent hypoglycemia associated with glutaric aciduria type II in an adult.},
  author={Geoff Dusheiko and MichaelC. Kew and Barry Isaac Joffe and Jonathan Lewin and Stephanos Mantagos and Kaoru Tanaka},
  journal={The New England journal of medicine},
  year={1979},
  volume={301 26},
  pages={
          1405-9
        }
}
Repeated episodes of hypoglycemia accompanied by elevated serum concentrations of free fatty acid without ketosis, fatty infiltration of the liver, hepatic dysfunction, and proximal myopathy in a 19-year-old woman, prompted us to analyze her urine for organic acids. Greatly increased quantities of glutaric acid, ethylmalonic acid, dicarboxylic acids with six to 10 carbons, and isovalerylglycine were consistently found in her urine. The ability of cultured skin fibroblasts from the patient to… CONTINUE READING
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