TY - CHAP M1 - Book, Section TI - Disorders of Mineral Metabolism (Iron, Copper, Zinc, and Molybdenum) A1 - Koeller, David M. A1 - Kaler, Stephen G. A2 - Sarafoglou, Kyriakie A2 - Hoffmann, Georg F. A2 - Roth, Karl S. PY - 2017 T2 - Pediatric Endocrinology and Inborn Errors of Metabolism, 2e AB - Copper, zinc, iron, and molybdenum are essential metals that must be acquired from the diet. Their roles vary from electron transfer and oxygen transport to the determination and maintenance of protein structure. There are hundreds of metalloproteins that function in many aspects of cellular metabolism. Thus it is not surprising that abnormalities of metal homeostasis can present with a broad range of clinical symptoms. Disorders of metal metabolism can be divided into three main categories, characterized by either an excess or deficiency, or a defect in intracellular metal metabolism. Disorders characterized by excess metal include hereditary hemochromatosis and Wilson disease, which result from toxic accumulation of iron and copper, respectively. Menkes disease and acrodermatitis enteropathica are examples of disorders that result from metal deficiency (ie, copper and zinc, respectively). The third group of disorders is represented by molybdenum cofactor deficiency, which is caused by defective intracellular synthesis of a molybdenum-containing pterin. The varying pathophysiology of these disorders is also reflected in the variable response to therapy, which ranges from complete cure in acrodermatitis enteropathica to the virtual absence of effective treatment options in molybdenum cofactor deficiency. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1140322324 ER -