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3-METHYLGLUTACONIC ACIDURIA (TYPE II), X-LINKED

3-METHYLGLUTACONIC ACIDURIA (TYPE II), X-LINKED
BARTH SYNDROME;MGCA2;BTHS
302060
OMIM = Online Mendelian Inheritance of Men
111
Tafazzin
Xp28
E71.1
rare (<1:200000)
X-linked
mutation in the tafazzin gene
cardiac-specific loss of succinate dehydrogenase (SDH), an enzyme linking the respiratory chain with the tricarboxylic acid cycle [Dudek J et al. 2015]
Laboratory findings    2-Ethylhydracrylic acid normal/inc (urine)
    3-Methylglutaconic acid inc (urine)
    3-Methylglutaric acid inc (urine)
    Ammonia normal/inc (blood)
    Cardiolipin profile (urine)
    Cholesterol normal/dec (serum)
    L-Carnitine normal/dec (plasma)
    L-Lactic acid normal/inc (blood)
    pH normal/dec (blood)
    Pyruvic acid dec (blood)
    Succinic acid inc (urine)
    Uric acid normal/inc (plasma)
Symptomslactic acidosis
    cardiac arrhythmia, dysrhythmia
    cardiomegaly
    cardiomyopathy
    chorea or athetosis
    CT, brain, abnormalities [-]
    dysmorphism
    early death
    EEG abnormalities [-]
    failure to thrive
    feeding difficulties, poor feeding
    growth retardation, poor growth
    hearing defect, deafness
    hypertonia, spasticity
    hypothermia
    hypotonia
    infections (local, abscesses)
    infections (severe or recurrent)
    myopathy
    neutropenia (decreased neutrophils)
    onset, adolescent
    onset, adulthood
    onset, childhood
    onset, infancy
    onset, neonatal
    optic atrophy
    Organic acids, urine
    seizures