Nonketotic hyperglycinemia presenting as pulmonary hypertensive vascular disease and fatal pulmonary edema in response to pulmonary vasodilator therapy

J Pediatr. 2012 Sep;161(3):557-9. doi: 10.1016/j.jpeds.2012.04.044. Epub 2012 Jun 1.

Abstract

The association of pulmonary hypertensive vascular disease with nonketotic hyperglycinemia is rare. We describe 5 infants diagnosed with nonketotic hyperglycinemia, in whom pulmonary hypertensive vascular disease was the main presenting feature, and who developed severe pulmonary edema in response to pulmonary vasodilators.

MeSH terms

  • Female
  • Humans
  • Hyperglycinemia, Nonketotic / complications
  • Hyperglycinemia, Nonketotic / diagnosis*
  • Hyperglycinemia, Nonketotic / mortality
  • Hyperglycinemia, Nonketotic / physiopathology
  • Hypertension, Pulmonary / drug therapy
  • Hypertension, Pulmonary / etiology*
  • Hypertension, Pulmonary / pathology
  • Hypertension, Pulmonary / physiopathology
  • Infant
  • Lung / pathology
  • Male
  • Pulmonary Edema / chemically induced*
  • Pulmonary Edema / diagnostic imaging
  • Pulmonary Edema / mortality
  • Radiography
  • Respiratory Insufficiency / etiology
  • Retrospective Studies
  • Vasodilator Agents / adverse effects*

Substances

  • Vasodilator Agents