" /> Combined D-2- and L-2-hydroxyglutaric aciduria - CISMeF





Preferred Label : Combined D-2- and L-2-hydroxyglutaric aciduria;

Symbol : D2L2AD;

CISMeF acronym : D2L2AD;

Type : Phenotype, molecular basis known;

Description : Combined D-2- and L-2-hydroxyglutaric aciduria (D-2-HG and L-2-HG) is an autosomal recessive neurometabolic disorder characterized by neonatal-onset encephalopathy with severe muscular weakness, intractable seizures, respiratory distress, and lack of psychomotor development resulting in early death. Brain imaging shows abnormalities including enlarged ventricles, delayed myelination, and germinal layer cysts (summary by Muntau et al., 2000). See also isolated L-2-hydroxyglutaric aciduria (236792) and isolated D-2-hydroxyglutaric aciduria (see 600721).;

Inheritance : Autosomal recessive;

Molecular basis : Caused by mutation in the solute carrier family 25 (mitochondrial citrate transporter), member 1 gene (SLC25A1, 190315.0001);

Laboratory abnormalities : Increased urinary, plasma, and CSF L-2-hydroxyglutaric acid; Increased urinary 2-oxoglutaric acid; Increased urinary, plasma, and CSF D-2-hydroxyglutaric acid; Predominance of the D-stereoisomer;

Prefixed ID : #615182;

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04/05/2025


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