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MALONYL-COA DECARBOXYLASE DEFICIENCY

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