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Retired NBME 27 Answers

nbme27/Block 3/Question#33 (reveal difficulty score)
A 2-month old boy is brought to the physician ...
Peroxisomes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(20)
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Peroxisome pathologies

Zellweger syndrome - an autosomal recessive disorder causing hypotonia, seizures, hepatomegaly, and early death

Refsum disease - an autosomal recessive disorder of alpha-oxidation that results in the abnormal metabolization of phytanic acid to pristanic acid. Results in scaly skin, ataxia, cataracts/night blindness, shortening of the 4th toe, and epiphyseal dysplasia.

Adrenoleukodystrophy - an X-linked recessive disorder of beta-oxidation due to mutation in ABCD1 gene and the build-up of VLCFA in adrenal glands, white (leuko) matter of the brain, and testes.

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