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MITOCHONDRIAL DNA DEPLETION SYNDROME 9 (ENCEPHALOMYOPATHIC TYPE WITH METHYLMALONIC ACIDURIA); MTDPS9; SUCGL1

MITOCHONDRIAL DNA DEPLETION SYNDROME 9 (ENCEPHALOMYOPATHIC TYPE WITH METHYLMALONIC ACIDURIA); MTDPS9; SUCGL1
CONGENITAL LACTIC ACIDOSIS
245400
OMIM = Online Mendelian Inheritance of Men
17
Succinyl-CoA ligase [ADP/GDP-forming] subunit alpha, mitochondrial
6.2.1.4
2p11.2
E71.1
rare
autosomal recessive
mutation in the alpha subunit of the succinate-CoA ligase gene (SUCLG1)
Laboratory findings    D-Glucose normal/dec (serum)
    L-Lactic acid inc (blood)
    L-Lactic acid inc (cerebrospinal fluid)
    Lactate/Pyruvate ratio inc (urine)
    Methylmalonic acid inc (urine)
    Methylmalonylcarnitine (C4-DC) inc (urine)
    Pyruvic acid inc (blood)
    Succinylcarnitine (C4-DC) inc (urine)
Symptomshypoglycemia
lactic acidosis
    ataxia
    cerebral atrophy
    dystonia
    early death
    encephalopathy
    failure to thrive
    hearing defect, deafness
    hypotonia
    Leigh syndrome
    liver involvement or dysfunction
    mental retardation
    metabolic acidosis
    motor retardation
    neurological deterioration
    onset, infancy
    peripheral neuropathy
    psychomotor retardation
    pyramidal signs
    respiratory insufficiency
    seizures
    tachypnea, hyperpnea, dyspnea, hyperventilation