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ALPHA-AMINO-ADIPIC SEMIALDEHYDE DEHYDROGENASE DEFICIENCY (AAASAD)

ALPHA-AMINO-ADIPIC SEMIALDEHYDE DEHYDROGENASE DEFICIENCY (AAASAD)
PYRIDOXINE DEPENDENCY WITH SEIZURES (PDE); ALDH7A1
266100
OMIM = Online Mendelian Inheritance of Men
3006
alpha-aminoadipic semialdehyde dehydrogenase
1.2.1.31
5q23.2
G40.8
rare (1:20000 - 1:783000)
autosomal recessive
mutations in the ALDH7A1 gene
Laboratory findingsalpha-Aminoadipic semialdehyde inc (urine)
Pipecolic acid inc (cerebrospinal fluid)
Pipecolic acid normal/inc (urine)
Pipecolic acid inc (serum)
Sulfocysteine normal (urine)
   L-Lactic acid normal/inc (plasma)
    4-Aminobutyric acid inc (cerebrospinal fluid)
    6-Oxo-pipecolate inc (plasma)
    6-Oxo-pipecolate inc (urine)
    6-Oxo-pipecolate inc (cerebrospinal fluid)
    alpha-Aminoadipic semialdehyde inc (urine)
    alpha-Aminoadipic semialdehyde inc (cerebrospinal fluid)
    D-Glucose dec (plasma)
    Glutamic acid normal/inc (cerebrospinal fluid)
    Glutamic acid decarboxylase ()
Symptoms   abnormal movement
   corpus callosum, agenesis/hypoplasia
   developmental delay
   epilepsy
   hypoglycemia
   hypothermia
   hypotonia
   irritability
   low APGAR Score
   mental retardation
   MRI, brain, abnormalities [-]
   psychomotor retardation
   seizures
   seizures, myoclonic
   seizures, tonic clonic
   speech development, delayed, abnormal
   status epilepticus
   vomiting
    dystonia
    EEG abnormalities [-]
    encephalopathy
    hydrocephalus
    lactic acidosis
    microcephaly (<2 SD for age)
    onset, childhood
    onset, fetus
    onset, infancy
    onset, neonatal
    respiratory distress