MALONYL-COA DECARBOXYLASE DEFICIENCY | |
MALONIC ACIDURIA | |
248360
OMIM = Online Mendelian Inheritance of Men | |
943 | |
Malonyl-CoA decarboxylase, mitochondrial | |
4.1.1.9 | |
16q23.3 |
|
E72.8 | |
very rare (<1:200000) autosomal recessive mutation in the MLYCD gene | |
Laboratory findings | Methylmalonic acid inc (urine) Acylcarnitine/carnitine ratio inc (urine) Adipic acid normal/inc (urine) Ammonia normal/inc (blood) Cholesterol n/d (plasma) D-Glucose normal/dec (serum) Ethylmalonic acid inc (urine) Fumaric acid normal/inc (urine) Glutaric acid inc (urine) Ketone bodies (urine) normal/inc (urine) Malic acid normal/inc (urine) Malonic acid inc (urine) Malonyl-CoA decarboxylase dec (fibroblasts) Malonylcarnitine (C3DC) inc (urine) pCO2 normal/dec (blood) pH dec (blood) Sebacic acid normal/inc (urine) Suberic acid inc (urine) Succinic acid normal/inc (urine) |
Symptoms | basal ganglia, changes, lesions, calcifications (MRI, CT) cardiomyopathy cardiomyopathy, hypertrophic constipation decreased muscle volume, atrophy or hypoplasia developmental delay diarrhea epilepsy hypoglycemia hypotonia ketosis, ketoacidosis lactic acidosis mental retardation metabolic acidosis MRI, brain, abnormalities [-] MRI, brain, abnormalities [-] onset, infancy Organic acids, urine pain, abdominal seizures short stature vomiting |