Demographic Data |
Relation to Proband |
proband |
Age at Sampling |
30 MO |
Sex |
Male |
Hispanic or Latino/Not Hispanic or Latino |
Hispanic/Latino |
Racial Category |
Hispanic/Latino |
|
Data Elements |
Clinical Element Type: Propionic Acidemia |
(Baseline) |
Neonatal Data |
Was this child newborn screened? |
yes no unknown |
If yes, was the result prior to hospitalization |
yes no unknown |
Weight at birth in kgs |
3.23 |
Was child breast-fed? |
yes no unknown |
Failure to thrive? |
yes no unknown |
Molecular/Enzyme Laboratory Test Results |
Which Gene: PCCA? |
yes no unknown |
Which Gene: PCCB? |
yes no unknown |
Mutations Allele 1 |
IVS21+3DEL4 |
Mutations Allele 2 |
R243C |
Enzyme activity - % of normal |
5 |
Family History |
Are there other family members with PA? |
yes no unknown |
Other affected relatives? |
yes no unknown |
Has the individual passed away? |
yes no unknown |
Clinical Evaluation |
Current weight in kgs |
13.8 |
Current height in cms |
95.5 |
Respiratory |
Apnea |
yes no unknown |
Tachypnea |
yes no unknown |
Cardiovascular |
Cardiomyopathy |
yes no unknown |
Long QT? |
yes no unknown |
If yes, type |
No Data |
Abdominal/Gastrointestinal |
Pancreatitis |
chronic acute never noted |
Kidney problems |
yes no unknown |
Liver transplant |
yes no unknown |
Port-a-cath |
currently in place not currently in place never had one |
Gut motility |
normal slow requires medication unknown |
Reflux |
yes no unknown |
Eating by mouth |
100% |
Tube fed |
yes no unknown |
Are anti-emetics used for vomiting |
yes no unknown |
Neurologic |
Basal ganglia damage |
yes no unknown |
If yes, determined by |
No Data |
Seizures |
yes no unknown |
Autism spectrum disorder |
yes no unknown |
ADD/ADHD |
yes no unknown |
Optic nerve damage |
yes no unknown |
Neutropenia |
chronic acute unknown |
Anemia |
yes no unknown |
Immune deficiency |
yes no unknown |
Treated with IVIG |
yes no unknown |
Low platelets |
chronic acute not applicable unknown |
Asthma |
yes no unknown |
Secondary hip dysplasia |
yes no unknown |
Broken bones |
yes no unknown |
Short stature |
yes no unknown |
Growth hormone treatment |
yes no unknown |
Osteoporosis |
yes no unknown |
Developmental Evaluation |
Walking |
100% of the time |
Age when first walked |
15 MONTHS |
Language |
slightly below age level |
Age when first talked |
20 MONTHS |
Congitive ability |
age appropriate |
IQ |
known untested unsure |
Metabolic |
Is the individual biotin responsive |
yes no unknown |
Episodes of ketoacidosis |
yes no unknown |
Chronic hyperammonemia |
yes no unknown |
Is the individual currently on metabolic formula |
yes no unknown |
If yes, which ones |
|
Is the individual taking levocarnitine |
yes no unknown |
If yes, mg/kg |
150 |
Other supllements |
|
Remarks |
Clinically affected; newborn screened; eating by mouth; seizures; walked at 15 months of age; talked at 20 months of age; on metabolic formula and levocarnitine; donor subject is a compound heterozygote: one allele has a 4 bp deletion at nucleotide 1824+3 in intron 21 of the PCCA gene(IVS21+3del4) resulting in the skipping of intron 21 and the second allele has a substitution of cysteine for arginine at codon 243 [Arg243Cys (R243C)] |