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MITOCHONDRIAL SHORT-CHAIN ENOYL-CoA HYDRATASE 1 DEFICIENCY (ECHS1D, SCEH)

MITOCHONDRIAL SHORT-CHAIN ENOYL-CoA HYDRATASE 1 DEFICIENCY (ECHS1D, SCEH)
616277
OMIM = Online Mendelian Inheritance of Men
255241
short-chain enoyl-CoA hydratase
EC 4.2.1.17
10q26.3
G31.8
rare
autosomal recessive
mutation in the ECHS1 gene
Laboratory findingsS-2-carboxypropyl-cysteamine inc (urine)
S-2-carboxypropyl-cysteine inc (urine)
 3-Methylglutaconic acid inc (urine)
    2-Methyl-2,3-dihydroxybutyric acid normal/inc (urine)
    2-Oxoisocaproic acid normal/inc (urine)
    2-Oxoisovaleric acid normal/inc (urine)
    3-Hydroxyisovaleric acid inc (urine)
    Alanine inc (plasma)
    Alanine inc (cerebrospinal fluid)
    Glyoxylic acid inc (urine)
    L-Lactic acid inc (plasma)
    L-Lactic acid inc (cerebrospinal fluid)
    L-Lactic acid inc (urine)
    Pyruvic acid inc (cerebrospinal fluid)
Symptoms    apnea
    basal ganglia, changes, lesions, calcifications (MRI, CT)
    cardiomyopathy
    cardiomyopathy, dilated
    cerebral atrophy
    developmental delay
    dyskinesia
    dysmorphism
    dystonia
    early death
    encephalopathy
    epilepsy
    hearing defect, deafness
    hepatomegaly (large liver)
    hypertonia, spasticity
    hypospadia
    hypotonia
    intellectual disability/intellectual developmental disorder
    intrauterine growth retardation
    lactic acidosis
    Leigh syndrome
    leukoencephalopathy
    metabolic acidosis
    motor retardation
    MRI, brain, abnormalities [-]
    nystagmus
    oligohydramnion (maternal)
    onset, infancy
    onset, neonatal
    optic atrophy
    prematurity, premature delivery
    seizures
    splenomegaly (large spleen)