Isolated Methylmalonic Acidemia in Pediatric Population: A Case Report

Main Article Content

Konika Bansal

Abstract

Methylmalonic acidemia is an autosomal recessive heredity disorder resulting from an inborn defect of organic acid metabolism. It can manifest either in the early days of life or can have a late onset in childhood.


The treatment mainly involves protein restriction, carnitine, and vitamin B12 supplementation. Here, we report a case of methylmalonic acidemia that presented with complaints of multiple episodes of vomiting, hypotonia, and lethargy, followed by regression of achieved milestones. Through the laboratory tests, he was diagnosed with methylmalonic acidemia and confirmed with a genetic report. The child is showing improvement with protein restriction and supplements.


The study aims to highlight the significance of early metabolic disease diagnosis and identification as well as the necessity of early treatment and improved results.

Article Details

How to Cite
Bansal, K. (2024). Isolated Methylmalonic Acidemia in Pediatric Population: A Case Report. Journal of Comprehensive Clinical Practice, 18(1), 39–41. Retrieved from https://9vom.in/journals/index.php/jocp/article/view/231
Section
Case Reports

References

Villani GR, Gallo G, Scolamiero E, et al. "Classical organic acidurias": diagnosis and pathogenesis. Clin Exp Med2017;17:305-23. 10.1007/s10238-016-0435-0

Vockley J. Disorders of Branched Chain Amino and Organic Acid Metabolism. In: Kline MW. editor. Rudolph’s Pediatrics. 23 edition. New York, NY: McGraw-Hill Education, 2018

Zhou X, Cui Y, Han J. Methylmalonic acidemia: Current status and research priorities. Intractable Rare Dis Res. 2018 May;7(2):73-78.

Chen T, Gao Y, Zhang S, Wang Y, Sui C, Yang L. Methylmalonic acidemia: Neurodevelopment and neuroimaging. Front Neurosci. 2023 Jan 26;17:1110942.

Colombiano, Sampaio et al Methylmalonic acidemia in Pediatrics: case report CASE REPORT.(2019,January6).https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/en_rp020621a03.pdf.

Baumgartner MR, Horster F, Dionisi-Vici C, et al. Proposed guidelines for the diagnosis and management of methylmalonic and propionic acidemia.

Manoli I, Sloan JL, Venditti CP. Isolated Methylmalonic Acidemia. 2005 Aug 16 [Updated 2022 Sep 8]. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024.