3-methylglutaconic aciduria type 1
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Genetics
- autosomal recessive
- associated with defects in AUH
Clinical manifestations
- variable clinical phenotype, ranging from delayed speech development to severe psychomotor retardation, coma, failure to thrive, metabolic acidosis & dystonia
Laboratory
- 24 hour urine
- urine 3-methylglutaconic acid levels are higher than those detected in other forms of 3-methylglutaconic aciduria
- urine methylglutaric acid levels are usually only slightly elevated
- urine 3-hydroxyisovaleric acid levels are high
- 3-methylglutaconyl-CoA hydratase in fibroblasts