A rare case of isovaleric acidemia and schizophrenia: a case report - Takeaways - MDSpire

A rare case of isovaleric acidemia and schizophrenia: a case report

  • By

  • Jiawei Zhou

  • Hui Chen

  • Xianliang Chen

  • Huajia Tang

  • Sihong Li

  • Jiansong Zhou

  • September 30, 2025

  • 0 min

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  • 1

    Isovaleric acidemia (IVA) is a metabolic disorder caused by a deficiency in isovaleryl-CoA dehydrogenase, leading to impaired leucine metabolism.

  • 2

    The patient, diagnosed with both IVA and schizophrenia, exhibited symptoms of schizophrenia starting at age 18, including delusions and social withdrawal.

  • 3

    Treatment for the patient included various antipsychotics and mood stabilizers, with adjustments made due to side effects and persistent symptoms.

  • 4

    The case highlights a potential link between metabolic dysregulation in IVA and the pathophysiological mechanisms underlying schizophrenia.

  • 5

    This case study provides a novel perspective on the complex etiology of schizophrenia, suggesting shared processes with metabolic disorders like IVA.

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