Alternative titles and symbols : Tc II deficiency; Tcn2 deficiency;
Description : Transcobalamin II deficiency is an autosomal recessive disorder with onset in early
infancy characterized by failure to thrive, megaloblastic anemia, and pancytopenia.
Other features include methylmalonic aciduria, recurrent infections, and vomiting
and diarrhea. Treatment with cobalamin results in clinical improvement, but the untreated
disorder may result in mental retardation and neurologic abnormalities (summary by
Haberle et al., 2009). Hall (1981) gave a clinically oriented review of congenital
defects of vitamin B12 transport, and Frater-Schroder (1983) gave a genetically oriented
review.;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the transcobalamin II gene (TCN2, 613441.0001);
Laboratory abnormalities : Normal serum cobalamin; Normal serum folate; Reduced unsaturated serum cobalamin binding capacity; Abnormal Schilling test (not normalized by addition of intrinsic factor); Transcobalamin II deficiency; Methylmalonic aciduria;