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THIAMINE METABOLISM DYSFUNCTION SYNDROME 5 (EPISODIC ENCEPHALOPATHY TYPE); THMD5; TPK

THIAMINE METABOLISM DYSFUNCTION SYNDROME 5 (EPISODIC ENCEPHALOPATHY TYPE); THMD5; TPK
THIAMINE PYROPHOSPHOKINASE DEFICIENCY
614458
OMIM = Online Mendelian Inheritance of Men
293955
Thiamin pyrophosphokinase 1
2.7.6.2
7q35
very rare
autosomal recessive
mutation in the TPK1 gene
Leigh-like disease
Laboratory findingsThiamine, Vitamin B1 inc (serum)
    2-Oxoglutaric acid normal/inc (urine)
    3-Hydroxyisovaleric acid normal/inc (urine)
    L-Lactic acid inc (plasma)
    L-Lactic acid inc (cerebrospinal fluid)
    Vitamin H inc (urine)
Symptoms    ataxia
    developmental delay
    dystonia
    encephalopathy
    gait disturbance
    hypotonia
    lactic acidosis
    lethargy, drowsiness, apathy
    MRI, brain, abnormalities [-]
    onset, childhood
    seizures
    speech development, delayed, abnormal