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SENGERS SYNDROME

SENGERS SYNDROME
CATARACT AND CARDIOMYOPATHY
212350
OMIM = Online Mendelian Inheritance of Men
1369
Acylglycerol kinase, mitochondrial
2.7.1.94
7q34
Q87.8
rare (30 cases)
autosomal recessive
mutation in the AGK gene
2 types:
- severe neonatal form, early death
- later onset milder form
Laboratory findingsL-Lactic acid normal/inc (plasma)
    3-Methylglutaconic acid normal/inc (urine)
    Lactate/Pyruvate ratio inc (blood)
    Transaminases (ASAT/ALAT) normal/inc (serum)
Symptomslactic acidosis
    cardiomyopathy
    cardiomyopathy, hypertrophic
    cataract
    early death
    encephalopathy
    exercise intolerance
    glaucoma
    growth retardation, poor growth
    hypotonia
    intellectual disability/intellectual developmental disorder
    liver involvement or dysfunction
    motor retardation
    muscle weakness
    myopathy
    myopia
    nystagmus
    onset, infancy
    onset, neonatal
    respiratory insufficiency
    strabismus
    thrombopenia, thrombocytopenia