Alternative titles and symbols : Pseudoneonatal adrenoleukodystrophy; Straight-chain acyl-coa oxidase deficiency;
Description : Peroxisomal acyl-CoA oxidase deficiency is a disorder of peroxisomal fatty acid beta-oxidation.
See also D-bifunctional protein deficiency (261515), caused by mutation in the HSD17B4
gene (601860) on chromosome 5q2. The clinical manifestations of these 2 deficiencies
are similar to those of disorders of peroxisomal assembly, including Zellweger cerebrohepatorenal
syndrome (see 214100) and neonatal adrenoleukodystrophy (see 601539) (Watkins et al.,
1995).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutations in the peroxisomal acyl-CoA oxidase gene (ACOX1, 609751.0001);
Laboratory abnormalities : Decreased or absent peroxisome acyl-CoA oxidase activity and protein; Increased plasma levels of very-long chain fatty acids (VLCFA); Normal serum plasmalogen;