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Patient case report | Main data
Patient ID 149
Diagnosis PROPIONIC ACIDEMIA (MIM 606054)
Gender f
Age of symptoms onset 6 Week(s)
Age of diagnosis 6.99 Week(s)
Found in newborn screening n
Diagnosis confirmed y
Country Germany
Ethnic origin Mother: German, Father: German
History At the age of 6 weeks, the infant was hosptilalized because of hyperammonemic coma with apathia, exsiccation and paleness. Organic acid analysis showed a typical excretion pattern of propionic acdemia. After hemofiltration at the University Childrens Hospital in Freiburg, Germany, the infant status improved rapidly, however, there was lactic acidemia due to thiamine deficiency responsive to thiamine supplementation (Matern D, Seydewitz HH, Lehnert W, Niederhoff H, Leititis JU, Brandis M. Primary treatment of propionic acidemia complicated by acute thiamine deficiency. J Pediatr 1996 Nov;129(5):758-60). The patient, now 6 years old, shows a severe hearing defect and psychomotoric retardation.
Author Friedrich Trefz
Hospital Childrens Hospital Reutlingen
Coauthor(s)
Date of entry 2001-03-31 00:00:00
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