IEM Flashcards
Isovaleric Acidemia
Odor of Sweaty Feet + CNS sx
Dx: Increased C5 acylcarnitine on state newborn screen; increased urine isovalerylglycine and isovaleric acid
Confirm: Decreased isovaleryl-CoA dehydrogenase activity
Tx: Administer L-Carnitine and Glycine
3-methylcrotonyl glycinuria
Urine odor similar to male cat urine
Propionic Acidemia
Def in propionyl-CoA carboxylase
Presentation: CNS Dysfunction, Vomiting.
+Hyperammonemia
Methylmalonic Acidemia
Def in Methylmalonyl-CoA isomerase
Presentation: CNS Dysfunction (worse outcomes than PA), Vomiting.
+Hyperammonemia
Glutaric Aciduria Type I
Def: Glutaryl-CoA dehydrogenase
Presents with Macrocephaly. Neuroimaging often reveals frontotemporal atrophy and delayed myelination