D-bifunctional protein deficiency, also known as peroxisomal bifunctional enzyme deficiency, is an inherited disease causing severe biochemical abnormalities that are usually fatal within the first two years of life.
Infants with peroxisomal bifunctional enzyme deficiency are floppy at birth with poor muscle tone. Most experience seizures shortly after birth and almost all develop seizures within the first few months of life. The majority show visual and hearing impairment and have severe mental and physical retardation. Brain scans of these infants typically find a range of physical abnormalities. Infants with D-bifunctional protein deficiency also tend to share characteristic facial features.
Few infants with D-bifunctional protein deficiency reach any developmental milestones or develop motor skills.
D-bifunctional protein deficiency is the most severe among a group of diseases known as peroxisomal fatty acid oxidation disorders. Peroxisomes are structures that help detoxify our cells.
D-bifunctional protein deficiency is extremely rare, but its exact prevalence is unknown.
There is no successful treatment for D-bifunctional protein deficiency. Treatment can only serve to address seizures with medication and ensure proper nutrition.
The prognosis is poor. Most children with D-bifunctional protein deficiency die within the first two years of life without developing any mental or motor skills.
An all volunteer 501c3 non-profit dedicated to providing support, information and international networking for families affected by a Fatty Oxidation Disorder, as well as for professionals working with FOD families.
Director, Deb Lee Gould, MEd
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