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Pseudocholinesterase deficiency information


Pseudocholinesterase deficiency
SpecialtyAnesthesia
SymptomsProlonged paralysis
ComplicationsApnea, Sudden cardiac death
Usual onsetCocaine use, Administration of plasma cholinesterase metabolized pharmaceuticals
TypesHomozygous; Heterezygous: Silent, Absent, Fluoride, Dibucaine
CausesAutosomal Recessive
Diagnostic methodProlonged recovery from paralysis in self or blood relative
PreventionAlternative neuromuscular blockade agents, cocaine avoidance
TreatmentMechanical ventilation
Frequency1:2000-4000 General Population

Pseudocholinesterase deficiency is an autosomal recessive inherited blood plasma enzyme abnormality in which the body's production of butyrylcholinesterase (BCHE; pseudocholinesterase aka PCE) is impaired. People who have this abnormality may be sensitive to certain anesthetic drugs, including the muscle relaxants succinylcholine and mivacurium as well as other ester local anesthetics.[1]

  1. ^ Maiorana, A; Roach Jr, RB (2003). "Heterozygous pseudocholinesterase deficiency: A case report and review of the literature". Journal of Oral and Maxillofacial Surgery. 61 (7): 845–7. doi:10.1016/S0278-2391(03)00163-0. PMID 12856264.

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