Stuart Gallacher
College of Medicine and Veterinary Medicine, Royal Infirmary of Edinburgh, 47 Little France Crescent, Edinburgh EH16 4TJ
United Kingdom
Case Report
A Case of Acquired Methymalonic Aciduria Secondary to a Subclinical MaternalPernicious Anaemia
Author(s): Stuart Gallacher, Helen Prunty, Alison Jones, Robin H Lachmann and Paul GissenStuart Gallacher, Helen Prunty, Alison Jones, Robin H Lachmann and Paul Gissen
Inherited methylmalonic acidurias are a group of autosomal recessive disorders caused by mutations in the genes encoding methylmalonyl CoA mutase and proteins involved in cobalamin (Vitamin B12) metabolism. Methylmalonic aciduria can also arise as a result of severe cobalamin deficiency. We report the case of a male infant presenting at 5 months of age with a cobalamin sensitive methylmalonic aciduria, pancytopaenia, developmental delay, failure to thrive, hepatosplenomegaly and hypotonia. MRI brain imaging showed reduced white matter quantity and maturity. The cause was investigated and discovered to be a maternal subclinical pernicious anaemia. A rapid clinical improvement was made upon initiation of B12 supplementation. At follow up aged 18 months weight was above the 91st centile and height between the 75th and 90th. Although no delay in fine motor or social skills was noted at 18.. View More»
