Lathosterolosisis a very
rare autosomal recessive cholesterol metabolism disorder. The disease manifests itself with developmental and mental
delays, learning disabilities,
microcephaly, facial dysmorphism, bilateral cataracts, and skeletal defects. It
is caused by the deficiency of the enzyme sterol-C5-desaturase, which is involved in cholesterol biosynthesis. This
deficiency prevents the synthesis of
cholesterol, which acts as a precursor for lipid, bile acids, and steroid
hormones. Until 2020, only 7 cases had been reported. In this case report, it was aimed to plan and implement the nursing care of a 2-year-old boy
diagnosed with lathosterolosis with the
diagnoses of the North American Nursing Diagnostic Association (NANDA).
References
[1]
Brunetti-Pierri, N., Corso, G., Rossi, M., et al. (2002) Lathosterolosis, a Novel Multiple-Malformation/Mental Retardation Syndrome Due to Deficiency of 3β-Hydroxysteroid-Δ5-Desaturase. The American Journal of Human Genetics, 71, 952-958. https://doi.org/10.1086/342668
[2]
Rossi, M., D’Armiento, M., Parisi, I., et al. (2007) Clinical Phenotype of Lathosterolosis. American Journal of Medical Genetics Part A, 143A, 2371-2381.
https://doi.org/10.1002/ajmg.a.31929
[3]
Prasun, P., Ferguson, E., Iverson, A., et al. (2019) Lathosterolosis: An Extremely Rare Inherited Condition Associated with Progressive Liver Disease. Journal of Pediatric Gastroenterology and Nutrition, 69, e142-e145.
https://doi.org/10.1097/MPG.0000000000002434
[4]
Yaplito-Lee, J., Pai, G., Hardikar, W., et al. (2020) Successful Treatment of Lathosterolosis: A Rare Defect in Cholesterol Biosynthesis—A Case Report and Review of Literature. JIMD Reports, 56, 14-19. https://doi.org/10.1002/jmd2.12158
[5]
Ho, A.C.C., et al. (2013) Lathosterolosis: A Disorder of Cholesterol Biosynthesis Resembling Smith-Lemli-Opitz Syndrome. JIMD Reports, 12, 129-134.
https://doi.org/10.1007/8904_2013_255
[6]
Krakowiak, P.A., Wassif, C.A., Kratz, L., et al. (2003) Lathosterolosis: An Inbornerror of Human and Murine Cholesterol Synthesis Due to Lathosterol5-Desaturase Deficiency. Human Molecular Genetics, 12, 1631-1641.
https://doi.org/10.1093/hmg/ddg172
[7]
Carpenito, L.J. (2022) Nursing Diagnosis: Application to Clinical. Nobel Tıp Kitapevi, Istanbul, pp. 177-557.