Demographic Data |
Relation to Proband |
proband |
Age at Sampling |
10 YR |
Sex |
Female |
Age at Diagnosis(If not a control) |
5 MO |
Racial Category |
Filipino |
Country |
CANADA |
|
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 |
No Data |
Weight at birth in kgs |
3.54 |
Length at birth in cm |
50.8 |
Was child breast-fed? |
yes no unknown |
If yes, duration in months |
4 MONTHS |
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 |
337C>T |
Mutations Allele 2 |
1172T>C |
Family History |
Are there other family members with PA? |
yes no unknown |
Number of siblings with PA |
ONE |
Number of living siblings with PA |
ONE |
Other affected relatives? |
yes no unknown |
Has the individual passed away? |
yes no unknown |
Clinical Evaluation |
Current weight in kgs |
30 |
Current height in cms |
129 |
Respiratory |
Apnea |
yes no unknown |
Tachypnea |
yes no unknown |
Cardiovascular |
Cardiomyopathy |
yes no unknown |
If yes, type |
mild |
Age at diagnosis of cardiomyopathy |
6 YR |
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 |
1-50% |
Tube fed |
yes no unknown |
If yes, what kind |
G-tube |
Vomiting |
infrequently |
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 |
No Data |
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 |
3 YR |
Language |
slightly below age level |
Age when first talked |
3 YEARS |
Congitive ability |
mildly impaired |
IQ |
known untested unsure |
Metabolic |
Is the individual biotin responsive |
yes no unknown |
Episodes of ketoacidosis |
yes no unknown |
If yes, give frequency |
infrequently |
Chronic hyperammonemia |
yes no unknown |
Is the individual currently on metabolic formula |
yes no unknown |
If yes, which ones |
Propimex Pro-phree Polcyose
|
Is the individual taking levocarnitine |
yes no unknown |
If yes, mg/kg |
8000MG/DAY |
Other supllements |
|
Remarks |
Clinically affected; affected sister is GM22124; presented at 5 months of age with acute decompensation, lethargy, metabolic acidosis, hyperammonemia, pancytopenia, high glycine and propionic acid in urine; cardiomyopathy; gut motility is normal; 1-50% eating by mouth; g-tube; infrequent vomiting; short stature; growth hormone treatment; walked at age 3 years; language significantly below age level; first talked at age 3 years; cognitive ability mildly impaired; episodes of ketoacidosis; on metabolic formula and levocarnitine; donor subject is a compound heterozygote: one allele has a C>T transition at nucleotide 377 in exon 3 of the PCCB gene (c.377C>T) resulting in a stop at codon 113 [Arg113Ter (R113X)] and the second allele has a T>C transition at nucleotide 1172 in exon 11 (c.1172T>C) resulting in the substitution of serine for phenylalanine at codon 391 [Phe391ser (F391S)] |