3-METHYLGLUTACONIC ACIDURIA (TYPE II), X-LINKED | |
BARTH SYNDROME;MGCA2;BTHS | |
302060
OMIM = Online Mendelian Inheritance of Men | |
111 | |
Tafazzin | |
Xp28 |
|
E71.1 | |
rare (<1:200000) X-linked mutation in the tafazzin gene cardiac-specific loss of succinate dehydrogenase (SDH), an enzyme linking the respiratory chain with the tricarboxylic acid cycle [Dudek J et al. 2015] | |
Laboratory findings | 2-Ethylhydracrylic acid normal/inc (urine) 3-Methylglutaconic acid inc (urine) 3-Methylglutaric acid inc (urine) Ammonia normal/inc (blood) Cardiolipin profile (urine) Cholesterol normal/dec (serum) L-Carnitine normal/dec (plasma) L-Lactic acid normal/inc (blood) pH normal/dec (blood) Pyruvic acid dec (blood) Succinic acid inc (urine) Uric acid normal/inc (plasma) |
Symptoms | lactic acidosis cardiac arrhythmia, dysrhythmia cardiomegaly cardiomyopathy chorea or athetosis CT, brain, abnormalities [-] dysmorphism early death EEG abnormalities [-] failure to thrive feeding difficulties, poor feeding growth retardation, poor growth hearing defect, deafness hypertonia, spasticity hypothermia hypotonia infections (local, abscesses) infections (severe or recurrent) myopathy neutropenia (decreased neutrophils) onset, adolescent onset, adulthood onset, childhood onset, infancy onset, neonatal optic atrophy Organic acids, urine seizures |