RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164088647 T1 Zellweger Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164088647 RD 2024/04/25 AB Most severe manifestation of disease within the spectrum of peroxisome biogenesis disorders. The disease affects brain development, particularly nerve myelination. Most important features include hepatomegaly, polycystic kidney disease, visual disturbances, and high plasma levels of iron and copper. Other clinical features include muscular hypotonia noticeable at birth, mental retardation, seizures, coagulopathy, and dysphagia with recurrent aspiration. Life expectancy is approximately 6 months but may reach infancy or late childhood in milder forms.