So far this list contains single enzyme deficiencies like Refsum disease (PHYH deficiency), racemase, MFP2 and SCPx deficiency, as well as biogenesis disorders such as Zellweger syndrome, neonatal adrenoleukodystrophy, infantile Refsum disease and rhizomelic chondrodysplasia punctata. This evidence concerns the gene HSD17B4 and hyperinsulinemic hypoglycemia, familial, 4.