%0 Case Reports %T Identification of a novel mutation in the ALDOB gene in hereditary fructose intolerance. %A Beyzaei Z %A Ezgu F %A Imanieh MH %A Haghighat M %A Dehghani SM %A Honar N %A Geramizadeh B %J J Pediatr Endocrinol Metab %V 36 %N 3 %D Mar 2023 28 %M 36659819 %F 1.52 %R 10.1515/jpem-2022-0566 %X OBJECTIVE: Hereditary fructose intolerance (HFI) is caused by aldolase B enzyme deficiency. There has been no report about HFI from Iran and the type of mutations has not been reported in the Iranian population so far.
METHODS: Herein we report a 2 year old girl presented with failure to thrive, hepatomegaly, and liver dysfunction. The primary impression has been hepatic glycogen storage disease type 1 or 6. This diagnosis was not confirmed by laboratory data and liver biopsy. Therefore, targeted-gene sequencing (TGS) covering 450 genes involved in inborn errors in metabolic diseases was performed. The results of TGS showed a rare novel homozygous pathogenic variant c.944del (p.Gly315ValfsTer15) in the ALDOB gene.
CONCLUSIONS: This report introduces a novel variant that expands the mutational spectrum of the ALDOB gene in patients with HFI.