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Propofol infusion syndrome or adrenoleukodystrophy?
[neonatal adrenoleukodystrophy]
Following
a
propofol
anesthetic
,
a
5
-
year
-old
girl
with
lower
extremity
spasticity
seized
and
developed
hypertriglyceridemia
,
hyperkalemia
,
and
metabolic
acidosis
.
A
presumed
diagnosis
of
propofol
infusion
syndrome
(
PRIS
)
was
made
,
but
further
investigation
revealed
neonatal
adrenoleukodystrophy
.
PRIS
should
be
considered
with
this
constellation
of
symptoms
,
but
other
neurometabolic
disorders
must
always
be
ruled
out
.
Diseases
Validation
Diseases presenting
"metabolic acidosis"
symptom
congenital diaphragmatic hernia
homocystinuria without methylmalonic aciduria
neonatal adrenoleukodystrophy
pendred syndrome
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
This symptom has already been validated