Open AccessPersistent hypoglycemia associated with lipid storage myopathy in a paint foal
Author(s) -
Pinn Toby L.,
Divers Thomas J.,
Southard Teresa,
De Bernardis Nikhita P.,
Wakshlag Joe J.,
Valberg Stephanie
Publication year - 2018
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/jvim.15218
Subject(s) - foal , medicine , hypoglycemia , weakness , myopathy , endocrinology , muscle weakness , physiology , gastroenterology , surgery , biology , insulin , genetics
A 12‐hours‐old Paint filly was examined because of weakness and dull mentation after birth. Despite IV administered dextrose, the foal remained persistently hypoglycemic with increase in serum activity of muscle and liver enzymes. A postmortem diagnosis of lipid myopathy most similar to multiple acyl‐CoA dehydrogenase deficiency (MADD) was confirmed by findings of myofiber lipid accumulation, elevated urine organic acids, and serum free acylcarnitines with respect to control foals. This report details a case of equine neonatal lipid storage myopathy with many biochemical characteristics of MADD. Lipid storage myopathies should be included as a differential diagnosis in foals with persistent weakness and hypoglycemia.