Abstract
A new case of mitochondrial malonyl coenzyme A decarboxylase deficiency is described. The patient presented with an initial episode of metabolic acidosis, seizures, hypoglycemia, and cardiac failure at 2 months of age which slowly resolved. Subsequent evaluations at 4 years of age for developmental delay revealed a prominent elevation of malonic acid in urine. Malonyl carnitine was also elevated. The activity of malonyl CoA decarboxylase in cultured fibroblasts was 7% of normal. Conclusion: Malonyl CoA decarboxylase deficiency may result in inhibition of fatty acid oxidation, which may account for the cardiomyopathy.
Original language | English (US) |
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Pages (from-to) | 382-383 |
Number of pages | 2 |
Journal | European Journal of Pediatrics |
Volume | 156 |
Issue number | 5 |
DOIs | |
State | Published - 1997 |
Externally published | Yes |
Keywords
- cardiomyopathy
- inborn errors of metabolism
- malonyl coenzyme A decarboxylase deficiency
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health