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AMISH LETHAL MICROCEPHALY; THIAMINE METABOLISM DYSFUNCTION SYNDROME 3 (MICROCEPHALY TYPE)

AMISH LETHAL MICROCEPHALY; THIAMINE METABOLISM DYSFUNCTION SYNDROME 3 (MICROCEPHALY TYPE)
THIAMINE METABOLISM DYSFUNCTION SYNDROME 3 (MICROCEPHALY TYPE); THMD3
607196
OMIM = Online Mendelian Inheritance of Men
99742
Mitochondrial thiamine pyrophosphate carrier
17q25.1
Q02
very rare, 1 in 480 among Old Order Amish
autosomal recessive
mutation in the SLC25A19 gene
all reported patients have been from the Pennsylvania Amish community
Laboratory findingsSedoheptulose-7-phosphate inc (urine)
    L-Lactic acid inc (urine)
    L-Lactic acid inc (plasma)
Symptoms    contractures, joints
    early death
    hepatomegaly (large liver)
    hypotonia
    irritability
    lactic acidosis
    microcephaly (<2 SD for age)
    onset, neonatal
    psychomotor retardation
    small chin or micrognathia