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3-PHOSPHOGLYCERATE DEHYDROGENASE DEFICIENCY (PHGDH)

3-PHOSPHOGLYCERATE DEHYDROGENASE DEFICIENCY (PHGDH)
PHGDH DEFICIENCY
601815
OMIM = Online Mendelian Inheritance of Men
35705
D-3-phosphoglycerate dehydrogenase
1.1.1.95
1q12
E72.8
very rare
autosomal recesive
mutation in the PHGDH gene
disorder of L-serine biosynthesis
Laboratory findings    3-Phosphoglycerate dehydrogenase dec (fibroblasts)
    Glycine dec (cerebrospinal fluid)
    Glycine normal/dec (plasma)
    L-Serine dec (cerebrospinal fluid)
    L-Serine dec (plasma)
Symptoms    Amino acid, spinal fluid
    Amino acids, plasma
    anemia
    ataxia
    cataract
    EEG abnormalities [-]
    EEG: hypsarrhythmia [-]
    feeding difficulties, poor feeding
    growth retardation, poor growth
    hypertonia, spasticity
    hypogonadism
    megaloblastic anemia
    mental retardation
    microcephaly (<2 SD for age)
    motor retardation
    MRI, brain, abnormalities [-]
    nystagmus
    onset, infancy
    psychomotor retardation
    seizures
    spastic diplegia/quadriplegia/tetraplegia
    thrombopenia, thrombocytopenia
    West syndrome