We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Sudden Infant Death Syndrome in Neonates-Reply

Am J Dis Child. 1992;146(8):903-904. doi:10.1001/archpedi.1992.02160200025016.
Text Size: A A A
Published online


In Reply.Dr Elpeleg correctly states that the metabolic workup for our surviving patients included only screening for urinary reducing substances and an amino acid profile. He states that this is inadequate for diagnosis of defects in mitochondrial β-oxidation of fatty acids, which has been reported to cause SIDS, and suggests that fibroblast culture be performed for all SIDS victims and patients with near-miss cases of SIDS.

The patients we reported were born between October 1985 and April 1990, or before the interesting study by Harpey et al1 was published. Still, it is unlikely that any of our patients had defects in fatty acid β-oxidation because (1) the illness did not progress in survivors, and (2) fatty infiltration of the liver was not present in SIDS victims. Fatty infiltration of the liver, heart, and skeletal muscle is the hallmark of this disorder. Losty et al2 reported an infant with medium-chain


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.