ID |
Gender |
Diagnosis |
Age of Onset |
Presenting Symptoms |
C3 |
C3/C2 |
Mutation |
Variant Remarks |
Hom. /Het. |
Dom. |
Nucleotide |
Amino acid |
1 |
M |
MMA |
4 months |
Delayed motor and mental development, lethargy, tachypnea, metabolic acidosis, hyperammonemia, vomiting, fever, anemia and diarrhea |
30.11 |
0.47 |
c.15G>A |
p.K5Ka |
Silent |
Hom |
ML |
c.165C>A |
p.N55Ka |
Missense |
Het |
NT |
c.323G>A |
p.R108Hb |
Missense |
Hom |
(βα)8 |
5 |
M |
MMA |
3 Days |
Delayed motor and mental development, lethargy, bad obstetric history |
11.4 |
0.7 |
c.15G>A |
p.K5K |
Silent |
Het |
ML |
9 |
F |
MMA |
6 Days |
Tachypnea, disturbed conscious level then coma, loss of acquired motor and mental development, lethargy, hyperammonemia, anemia and admitted into PICU. |
26.3 |
0.67 |
c.165C>A |
p.N55K |
Missense |
Het |
NT |
10 |
M |
MMA |
NR |
Enlarged liver, otitis media, tonsillitis, fever, developmental regression, loss of motor milestone, vomiting, metabolic acidosis and coma |
NR |
NR |
c.7del |
p.R3EfsX14a |
Frame Shift |
Hom |
ML |
11 |
M |
PA |
3 Days |
Hyperammonemia, jaundice, anemia and NICU admission |
35.9 |
0.49 |
c.15G>A |
p.K5K |
Silent |
Het |
ML |
c.165C>A |
p.N55K |
Missense |
Het |
NT |
MMA- methylmalonic aciduria, PA- propionic aciduria, PICU- pediatric intensive care unit, NICU- neonatal intensive care unit, NR- not recorded, C3- propionylcarnitine,
C3:C2- acetylcarnitine: propionylcarnitine
aNovel mutations
bMutation involves CpG dinucleotide
Normal Reference values; C3<4.0 μmol/L, C3:C2<0.30
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