Eduardo Maranhão Gubert 
	
					    												
Brazil						                            
                            
						
 Case Report
												Mevalonic Aciduria as a Differential Diagnosis of Blueberry Muffin Baby 						
Author(s): Rafaela Wagner, Camila Vieira Bellettini, Márcia Bandeira, Eduardo Maranhão Gubert and Mara Lúcia Schmitz Ferreira Santos
Rafaela Wagner, Camila Vieira Bellettini, Márcia Bandeira, Eduardo Maranhão Gubert and Mara Lúcia Schmitz Ferreira Santos
             
						
												
				 Mevalonate kinase (MK) deficiency is an auto inflammatory autosomal recessive disorder caused by a mutation in the gene encoding MK, an essential enzyme in the biosynthesis of cholesterol and isoprenoids. The disease has a wide clinical spectrum according to enzyme residual activity, the most severe form is known as Mevalonic Aciduria (MA). The aim of this article is to report a clinical case of severe MA, with an initial manifestation of a skin rash known as blueberry muffin, most commonly associated with congenital infections or neonatal hematopoietic diseases. We report the case of a three-month boy, born to consanguineous parents, that was referred to our service for assessment of malnutrition, vomiting, fever, jaundice and hepatosplenomegaly. At birth, he presented a purpuric rash suggestive of Blueberry Muffin Baby Syndrome. A thorough investigation revealed increased excretion .. View More»
				  
												DOI:
												 10.4172/2167-0897.1000225