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MITOCHONDRIAL DNA DEPLETION SYNDROME 5

MITOCHONDRIAL DNA DEPLETION SYNDROME 5
ENCEPHALOMYOPATHIC FORM, WITH OR WITHOUT METHYLMALONIC ACIDURIA; SUCLA2 Deficiency
612073
OMIM = Online Mendelian Inheritance of Men
1933
Succinyl-CoA ligase [ADP-forming] subunit beta, mitochondrial
6.2.1.5
13q14.2
G71.3
rare (1:1700 Faroe Islands)
autosomal recessive
mutation in the beta subunit of the succinate-CoA ligase gene (SUCLA2)
Laboratory findings   3-Methylglutaconic acid inc (urine)
   Methylmalonic acid inc (urine)
    3-Hydroxyisovaleric acid normal/inc (urine)
    Creatine kinase inc (plasma)
    L-Lactic acid inc (cerebrospinal fluid)
    L-Lactic acid inc (plasma)
    Lactate/Pyruvate ratio inc (blood)
    Methylcitric acid normal/inc (urine)
    Methylmalonic acid inc (plasma)
    Succinic acid inc (urine)
Symptomslactic acidosis
    abnormal movement
    Amino acids, urine
    basal ganglia, changes, lesions, calcifications (MRI, CT)
    cerebral atrophy
    chorea or athetosis
    contractures, joints
    defect of walking, running, rising or climbing
    developmental delay
    dystonia
    encephalopathy
    failure to thrive
    feeding difficulties, poor feeding
    growth retardation, poor growth
    hearing defect, deafness
    hyporeflexia
    hypotonia
    irritability
    mental retardation
    motor retardation
    movement disorder, hyperkinetic
    MRI, brain, abnormalities [-]
    muscle atrophy
    muscle weakness
    onset, infancy
    onset, neonatal
    ophthalmoplegia
    peripheral neuropathy
    psychomotor retardation
    ptosis (drooping eyelid)
    respiratory insufficiency
    seizures
    skoliosis, kyphoskoliosis
    strabismus
    tubulopathy