Abstract |
We reviewed the medical records of all patients with confirmed mitochondrial diseases treated with any or all of thiamin, riboflavin, coenzyme Q, vitamin C (approximately 10 mg/kg per day) and a high-fat diet (50-60% of caloric intake) between 1997 and 2003. There were 15 patients (9 male): 10 had enzymatic deficiency and 10 had a molecular diagnosis. Age at diagnosis was 11 months to 17 years 10 months. Treatment was commenced at time of clinical diagnosis in 12 patients. Follow-up period was 3 days to 7 years (median 22 months). Improvement was reported in 9 patients, of whom 4 attained further developmental skills, but this was only temporary in 6 patients. Five patients died during the follow-up period (3 days to 7 years). Patients with the 3243A > G mutation showed no significant change in the course of their disease, except for fewer migraine attacks. Of the six patients who had seizures, one has had a significant reduction in the severity of the seizures and one has had no further seizures. Plasma lactate levels were noncontributory. We conclude that high-dose vitamin and cofactor treatment and, where applicable, high-fat diet, are well tolerated and possibly effective in the short term, but ineffective in the longer term.
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Authors | J Panetta, L J Smith, A Boneh |
Journal | Journal of inherited metabolic disease
(J Inherit Metab Dis)
Vol. 27
Issue 4
Pg. 487-98
( 2004)
ISSN: 0141-8955 [Print] United States |
PMID | 15303006
(Publication Type: Journal Article)
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Chemical References |
- DNA, Mitochondrial
- Dietary Fats
- Vitamins
- Ubiquinone
- Lactic Acid
- Ascorbic Acid
- Riboflavin
- Thiamine
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Topics |
- Adolescent
- Ascorbic Acid
(administration & dosage)
- Child
- Child, Preschool
- DNA, Mitochondrial
(genetics)
- Dietary Fats
(administration & dosage)
- Female
- Humans
- Infant
- Lactic Acid
(blood)
- Male
- Mitochondrial Diseases
(diet therapy, drug therapy, genetics)
- Mutation
- Riboflavin
(administration & dosage)
- Thiamine
(administration & dosage)
- Ubiquinone
(administration & dosage)
- Vitamins
(administration & dosage)
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