Acute fatty liver of pregnancy and long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency.

Journal Article (Journal Article)

The pathogenesis of acute fatty liver of pregnancy is unknown, but similarities in the clinical presentation and the histological appearance of the liver with those found in children with metabolic defects in the intramitochondrial beta-oxidation pathway of the liver suggest that a disturbance in hepatic fatty acid oxidation may play a role. We report a woman with acute fatty liver of pregnancy who gave birth to a seemingly normal full-term infant who was seen at 4 mo of age with hypoglycemia, coma and profound hepatic steatosis. The infant had a defect in fatty acid oxidation, long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency, and the mother proved to be heterozygous for this metabolic condition. We hypothesize that the interaction of an affected fetus with a female heterozygous for this defect in fatty acid oxidation in the late third trimester accounts for some cases of acute fatty liver of pregnancy.

Full Text

Duke Authors

Cited Authors

  • Treem, WR; Rinaldo, P; Hale, DE; Stanley, CA; Millington, DS; Hyams, JS; Jackson, S; Turnbull, DM

Published Date

  • February 1994

Published In

Volume / Issue

  • 19 / 2

Start / End Page

  • 339 - 345

PubMed ID

  • 8294091

International Standard Serial Number (ISSN)

  • 0270-9139


  • eng

Conference Location

  • United States