Phenotype #0000000579

Individual ID 00001147
Associated disease GA1
Inheritance Familial, autosomal recessive
Age/Onset 01y
Diagnosis/Initial -
Age/Examination 03y06m (3 years, 6 months)
Diagnosis/Definite -
Age/Diagnosis -
Phenotype/Onset Recurrent irritability (HP:0000737) and vomiting (HP:0002013), head circumference >90th percentile
Phenotype details Disease course: continuation of episodes of drowsiness, vomiting and convulsions (HP:0001250); positive intradermal skin test for tuberculosis with subsequent six months treatment; At age 02y: temporary insertion of subdural peritoneal shunts with following development of spasticity signs; At age 03y03m: spasticity (HP:0001257), truncal ataxia (HP:0001251), involuntary choreiform movements, developmental regression (HP:0002376) and delay: motor regression (no longer able to sit or stand with support), non-motor skills delayed by 0.5 years, dysarthria (HP:0001260); At age 03y06m: hypoglycemia (HP:0001943) during mild upper respirartory tract infection with following diagnosis of temporary adrenocortical insufficiency (for 2.5 years) (HP:0000846) and GA-1; At age 05y: improvement of neurologic condition (began to walk with support, improvement in speech), no intellectual deterioration, persistence of hypoglycemic episodes during fasting; At age 06y: neurologic condition static, no further hypoglycemic episodes; At age 07y06m: severely affected with choreoathetosis (HP:0001266), hyperkinesia (HP:0002487) and dysarthria, no intellectual deterioration; At age 28y: no further progression of previous state;
CT(age 01y03m): bilateral subdural hydromas containing sterile xanthochromic fluid (no history of injury); CT(age 03y06m): increase of ventricular system in size, residual effusions over both temporal lobes, no signs of raised intracranial pressure
Protein -
Biochem glutarylcarnitine(urine): 42.8 mmol/mol creatinine; 3-OH-GA(urine): 172 mmol/mol creatinine; GA(urine): 2280 mmol/mol creatinine
Enzyme/Activity GCDH activity (fibroblasts): 1.3% of controls
Owner name Katrin Hinderhofer
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Julia Lopez
Date created 2013-04-17 17:21:21 +02:00 (CEST)
Date last edited 2019-05-01 19:18:48 +02:00 (CEST)

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