A report is given on 2 patients with postoperative liver and kidney insufficiency who showed a hereditary fructose intolerance (HFI) after the infusion of fructose and sorbitol. The pathophysiological and clinical signs of this rare disease are described.
Since irreversible organ damage occurs already after the infusion of more than 30 to 40 grams fructose or sorbitol, every therapy …
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The dangers of fructose-sorbitol infusions
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Hereditary fructose intolerance in early childhood: a major diagnostic challenge…
Twenty infants and young children with hereditary fructose intolerance (HFI) were admitted to hospital. None was diagnosed at admission.
Referals were for vomiting of unknown aetiology (16X), pyloric stenosis or hiatus hernia (5X), toxic condition (3X), and hepatomegaly of unknown origin (5X). Feeding difficulties (20X), vomiting (18X), and failure to thrive (16X) were leading sympto… |
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Severe lactic acidosis disease disclosing milk-protein intolerance to cows' milk…
The age of discovery and initial symptoms of cow milk allergy can vary. Lactic acidosis is exceptionally associated to this allergy.
CASE REPORT: A 32-day-old girl was admitted for a severe malaise with metabolic acidosis and hyperlactacidemia. There were no neonatal or family problems; breastfeeding was stopped on the 25th day. Fever was noted on the 29th day and her mother reported… |
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Severe cow's milk protein allergy in a Chinese neonate.
Cow's milk protein allergy is a growing problem in developed countries. We report the case of a Chinese infant, born at term, who presented on day 28 with severe growth failure, chronic diarrhoea, and metabolic acidosis.
Investigations supported a diagnosis of cow's milk protein allergy. This was confirmed by withdrawing and reintroducing the relevant infant formula under controlled … |
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Alternative tests in the diagnosis of food allergies.
In the last years an increase of allergic diseases has been observed whose prevalence is about 20-30% in general population of western countries.
However there is a risk of an over diagnosis of allergic diseases as many different diseases (migraine, chronic urticaria, chronic inflammatory bowel diseases, chronic-fatigue syndrome etc.) are considered due to food allergy or intolerance… |
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Pathogenesis of acidosis in hereditary fructose intolerance
An 18-yr-old man with a classical history of hereditary fructose intolerance (HFI) developed typical biochemical changes following an oral fructose load: fructosemia, hypoglycemia, hypophosphatemia, hyperuricemia, and metabolic acidosis.
Hypokalemia (3.1 meq/liter) was also noted. Three aspects of this case expand the published literature on this syndrome: (1) Metabolic… |
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