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Metabolic Information Centre (MIC) is designed to support the diagnosis of inborn errors of metabolism in a practical approach.
Together with our patient database RAMEDIS (www.ramedis.de) it is the basis of an expert system
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Disease
3-HYDROXYISOBUTYRIC ACIDURIA
Synonym
3-HYDROXYISOBUTYRIC ACIDURIA;
OMIM
236795
Comprehensive, authoritative, and timely compendium of human genes and genetic phenotypes
OMIM = Online Medalian Inheritance of Men
Orphanet
Short summery, also for non professionals on www.orpha.net
Enzyme
3-hydroxyisobutyrate dehydrogenase
Detailed enzyme information on www.expacy.ch
Gene locus
unknown
genetests.org
search search on genetest.org by MIM 236795
Summary
rare autosomal recessive
Clinical symptoms
clinodactyly
dehydration
dysmorphism
early death
failure to thrive
hypotonia
ketosis
lactic acidosis
metabolic acidosis
microcephaly
Organic acids, urine
respiratory insufficiency
vomiting
Abnormal Findings in
blood
3-Hydroxyisovalerylcarnitine (C5-OH)
| Significant : - increased
Lactate
Normal: 0.90-1.80 mmol/l | Significant : - increased
Abnormal Findings in
plasma
Carnitine, free
Normal: 20.00-40.00 µmol/l | Significant : - decreased
Abnormal Findings in
urine
2-Ethylhydracrilic acid
Normal: 0.00-20.00 mmol/mol creatinine | Significant : - increased
3-Hydroxyisobutyric acid
Normal: 2.00-33.00 mmol/mol creatinine | Significant : 60.00-390.00 mmol/mol creatinine
3-Hydroxyisovaleric acid
Normal: 0.00-46.00 mmol/mol creatinine | Significant : - increased
3-Hydroxypropionic acid
Normal: 3.00-10.00 mmol/mol creatinine | Significant : - increased
Ketone bodies
| Significant : - +/++
Lactate
Normal: 40.20-325.60 mmol/mol creatinine | Significant : - increased
Treatment
L-carnitine
low-protein diet
Literature
There are 8 publications available.
Click here to open the relevant 3-HYDROXYISOBUTYRIC ACIDURIA publications
Ramedis
Case reports with long term followup
There are 2 patient data available.
Click here to open the list of 3-HYDROXYISOBUTYRIC ACIDURIA patients documented in Ramedis database
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