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2-HYDROXYGLUTARIC ACIDURIA (L)

2-HYDROXYGLUTARIC ACIDURIA (L)
2-HYDROXYGLUTARIC ACIDEMIA (L); L-2-HYDROXYGLUTARIC ACIDURIA; L2HGA
236792
OMIM = Online Mendelian Inheritance of Men
79314
L-2-hydroxyglutarate dehydrogenase, mitochondrial
1.1.99.2
14q21.3
E72.8
rare (<1:1000000)
autosomal recessive
mutation in the L2HGDH gene
biochemical variants of 2-hydroxyglutaric aciduria: - L-2-hydroxyglutaric aciduria - D-2-hydroxyglutaric aciduria - combined D-2- and L-2-hydroxyglutaric aciduria
Laboratory findings2-Hydroxyglutaric acid (L) inc (urine)
   2-Hydroxyglutaric acid inc (urine)
    2-Hydroxyglutaric acid (L) inc (cerebrospinal fluid)
    2-Hydroxyglutaric acid (L) inc (plasma)
    L-Lysine normal/inc (cerebrospinal fluid)
    L-Lysine normal/inc (plasma)
    Protein, total inc (cerebrospinal fluid)
Symptoms   abnormalities (T) of the globus pallidus (MRI)
   ataxia
   basal ganglia, changes, lesions, calcifications (MRI, CT)
   chorea or athetosis
   dysarthria
   dystonia
   extrapyramidal signs
   hearing defect, deafness
   hypertonia, spasticity
   hypotonia
   intellectual disability/intellectual developmental disorder
   macrocephaly (large calvaria, >2 SD for age)
   mental retardation
   MRI, brain, abnormalities [-]
   nystagmus
   optic atrophy
   pyramidal signs
   seizures
   strabismus
   tremor or twitching
   white matter changes, abnormalities
    alopecia
    behavior, autism or autistic-like
    blindness, visual loss, visual impairment
    CT, brain, abnormalities [-]
    early death
    EEG abnormalities [-]
    epilepsy
    hyperpigmentation
    MRI, brain, white matter abnormalities [-]
    onset, infancy
    onset, neonatal
    Organic acids, urine
    psychomotor retardation
    speech development, delayed, abnormal