Methylmalonic acidemia
Symptoms
The disease can cause seizures and stroke. Babies may appear normal at birth, but develop symptoms once start eating more protein, which can cause the condition to get worse. Symptoms include:
- Vomiting
- Dehydration
- Lethargy
- Seizures
- Failure to thrive
- Recurrent infections with Candida
- Progressive encephalopathy
- Developmental delays
Signs and tests
A number of different laboratory and radiology tests may be performed, including:
-
Serum electrolytes
- Blood gas for acidosis
- Serum ammonia levels (see ammonia - test )
- Serum and urine tests for amino acids and organic acids
- Serum methylmalonic acid levels
-
Enzyme
analysis of fibroblasts for the specific enzyme defect
- CBC for neutropenia, anemia, and thrombocytopenia
- CT scan or MRI of the brain following a seizure
Review Date: 08/01/2005
Reviewed By: Nikheel S. Kolatkar, MD, Clinical and Research Fellow, Division of
Endocrinology, Diabetes, and Hypertension, Brigham and Women's
Hospital, Harvard Medical School, Boston, MA. Review provided by
VeriMed Healthcare Network.

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