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Case Reports
. 1976 Sep 20;71(3):477-84.
doi: 10.1016/0009-8981(76)90099-1.

D-Glyceric acidemia in a patient with chronic metabolic acidosis

S K Wadman, M Duran, D Ketting, L Bruinvis, P K De Bree, J P Kamerling, G J Gerwig, J F Vliegenthart, H Przyrembel, K Becker, H J Bremer
Case Reports

D-Glyceric acidemia in a patient with chronic metabolic acidosis

S K Wadman et al. Clin Chim Acta. .

Abstract

A patient is described with glyceric acidemia and glyceric aciduria. The main clinical problems in infancy were severe metabolic acidosis and failure to thrive. The patient needs permanent treatment with bicarbonate. Hyperglycinemia, as described in the first case discovered elsewhere, was not present. The glyceric acid was found to have the D-configuration, as analyzed by capillary gas chromatography of its di-O-acetyl-l-menthyl ester. The abnormality may result from a defect in serine metabolism.

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