cutis laxa autosomal recessive type 3A; mental retardation-joint hypermobility-skin laxity
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Genetics
- associated with defects in ALDH18A1
Clinical manifestations
- microcephaly
- progressive neurologic dysfunction
- mental retardation
- progeroid appearance
- joint hypermobility,
- skin laxity & hyperelasticity
- cataracts
Laboratory
- some patients manifest metabolic disturbances
- plasma ammonia: hyperammonemia
- serum ornithine hypoornithinemia
- serum citrulline: hypocitrullinemia
- serum arginine: hypoargininemia
- serum proline: hypoprolinemia