RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Marciniak, Bruno A1 Dalens, Bernard J. SR Print(0) ID 58070458 T1 Familial Hyperlysinemia T2 Syndromes: Rapid Recognition and Perioperative Implications YR 2006 FD 2006 PB The McGraw-Hill Companies PP New York, NY SN 9780071354554 LK accessanesthesiology.mhmedical.com/content.aspx?aid=58070458 RD 2022/05/28 AB The enzyme deficiencies of α-aminoadipic semialdehyde dehydrogenase and the saccharopine dehydrogenases have been associated with increased serum levels of l-lysine. The clinical presentation is very variable and may include developmental delay, hypotonia, lethargy recurrent emesis, and diarrhea.