Propionic acidaemia: clinical, biochemical and therapeutic aspects. Experience in 30 patients.

Abstract:

:Comprehensive data on 30 patients with propionic acidaemia, diagnosed by selective screening for inborn errors of metabolism, are presented. The most valuable diagnostic metabolites found were methylcitric-, 3-hydroxypropionic-, and 2-methyl-3-oxovaleric acids. Hyperlysinaemia and hyperlysinuria are also characteristic findings in this disease. The metabolic pattern found in propionic acidaemia is discussed extensively as are enzymatic findings. Residual activity of propionyl-CoA carboxylase is neither a predictive marker for severity nor for outcome of the disease. Propionate fixation assays were less reliable for confirmation of propionic acidaemia and of no prognostic value. Clinical presentation of the disease is discussed in detail. Besides the well-known unspecific findings (poor appetite, feeding difficulties, vomiting, dehydration, weight loss, muscular hypotonia, dyspnoea, somnolence, apathy, convulsion, coma, severe metabolic acidosis, hyperammonaemia) various skin abnormalities have been detected in about 50% of all patients. In 27% "dermatitis acidemica" was found.

journal_name

Eur J Pediatr

authors

Lehnert W,Sperl W,Suormala T,Baumgartner ER

doi

10.1007/BF02138781

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

S68-80

issue

7 Suppl 1

eissn

0340-6199

issn

1432-1076

journal_volume

153

pub_type

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