Prolidase deficiency is a rare metabolic condition characterized by skin lesions, recurrent infections, unusual facial features, variable intellectual disability, enlargement of the liver (hepatomegaly) with elevated liver enzymes, and enlargement of the spleen (splenomegaly).[11027][11028][11029] Symptoms typically present during infancy and vary greatly among affected individuals.[11028] The condition is caused by mutations in the PEPD gene. It is inherited in an autosomal recessive pattern.[11027][11028][11029] Treatment for prolidase deficiency is symptomatic and supportive and often requires the expertise of a multidisciplinary team.[11027]
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