Acatalasemia is a rare genetic disorder characterized by the absence or significantly reduced levels of the enzyme catalase in the body. Catalase plays a crucial role in breaking down hydrogen peroxide, a harmful byproduct of metabolism, into water and oxygen. Without sufficient catalase, hydrogen peroxide can accumulate and cause oxidative damage to cells and tissues.
Diagnosing acatalasemia typically involves a combination of clinical evaluation, medical history assessment, and laboratory tests. The following steps are commonly taken to diagnose this condition:
- Physical examination: A healthcare professional will perform a thorough physical examination to assess any visible symptoms or signs associated with acatalasemia. These may include oral ulcerations, gum infections, and skin lesions.
- Medical history: The doctor will inquire about the patient's medical history, including any family history of similar symptoms or known genetic disorders. This information helps in determining the likelihood of acatalasemia.
- Enzyme activity test: The definitive diagnostic test for acatalasemia involves measuring the activity of catalase in the patient's blood or other tissues. This is typically done by collecting a blood sample and analyzing it in a laboratory. A significant reduction or absence of catalase activity confirms the diagnosis.
- Genetic testing: In some cases, genetic testing may be performed to identify specific mutations in the CAT gene, which is responsible for producing catalase. This test can confirm the presence of acatalasemia and provide information about the specific genetic variant involved.
It is important to note that acatalasemia is an extremely rare condition, and its symptoms can overlap with other disorders. Therefore, a comprehensive evaluation by a healthcare professional is crucial for an accurate diagnosis. If acatalasemia is suspected, it is recommended to consult with a medical geneticist or a specialist in metabolic disorders for further evaluation and management.