MITOCHONDRIAL DNA DEPLETION SYNDROME 9 (ENCEPHALOMYOPATHIC TYPE WITH METHYLMALONIC ACIDURIA); MTDPS9; SUCGL1 | |
CONGENITAL LACTIC ACIDOSIS | |
245400
OMIM = Online Mendelian Inheritance of Men | |
17 | |
Succinyl-CoA ligase [ADP/GDP-forming] subunit alpha, mitochondrial | |
6.2.1.4 | |
2p11.2 |
|
E71.1 | |
rare autosomal recessive mutation in the alpha subunit of the succinate-CoA ligase gene (SUCLG1) | |
Laboratory findings | D-Glucose normal/dec (serum) L-Lactic acid inc (blood) L-Lactic acid inc (cerebrospinal fluid) Lactate/Pyruvate ratio inc (urine) Methylmalonic acid inc (urine) Methylmalonylcarnitine (C4-DC) inc (urine) Pyruvic acid inc (blood) Succinylcarnitine (C4-DC) inc (urine) |
Symptoms | hypoglycemia lactic acidosis ataxia cerebral atrophy dystonia early death encephalopathy failure to thrive hearing defect, deafness hypotonia Leigh syndrome liver involvement or dysfunction mental retardation metabolic acidosis motor retardation neurological deterioration onset, infancy peripheral neuropathy psychomotor retardation pyramidal signs respiratory insufficiency seizures tachypnea, hyperpnea, dyspnea, hyperventilation |