Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test

3-methylcrotonyl-coenzyme A carboxylase (3MCC) deficiency is an autosomal recessive disorder in which leucine catabolism is hampered, leading to increased urinary excretion of 3-methylcrotonylglycine. In addition, 3-hydroxyisovalerylcarnitine levels increase in the blood, and the elevated levels for...

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Main Authors: Sun Hee Lee, Yong Hee Hong
Format: Article
Language:English
Published: Korean Pediatric Society 2014-07-01
Series:Korean Journal of Pediatrics
Subjects:
Online Access:http://kjp.or.kr/upload/pdf/kjped-57-329.pdf
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author Sun Hee Lee
Yong Hee Hong
author_facet Sun Hee Lee
Yong Hee Hong
author_sort Sun Hee Lee
collection DOAJ
description 3-methylcrotonyl-coenzyme A carboxylase (3MCC) deficiency is an autosomal recessive disorder in which leucine catabolism is hampered, leading to increased urinary excretion of 3-methylcrotonylglycine. In addition, 3-hydroxyisovalerylcarnitine levels increase in the blood, and the elevated levels form the basis of neonatal screening. 3MCC deficiency symptoms are variable, ranging from neonatal onset with severe neurological abnormality to a normal, asymptomatic phenotype. Although 3MCC deficiency was previously considered to be rare, it has been found to be one of the most common metabolic disorders in newborns after the neonatal screening test using tandem mass spectrometry was introduced. Additionally, asymptomatic 3MCC deficient mothers have been identified due to abnormal results of unaffected baby's neonatal screening test. Some of the 3MCC-deficient mothers show symptoms such as fatigue, myopathy, or metabolic crisis with febrile illnesses. In the current study, we identified an asymptomatic 3MCC deficient mother when she showed abnormal results during a neonatal screening test of a healthy infant.
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spelling doaj.art-cb4aa4615f6444f4a313fb9b6ee649af2022-12-21T17:15:19ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582014-07-0157732933210.3345/kjp.2014.57.7.3292014600012Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening testSun Hee Lee0Yong Hee Hong1Department of Pediatrics, Gachon University Gil Medical Center, Incheon, Korea.Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.3-methylcrotonyl-coenzyme A carboxylase (3MCC) deficiency is an autosomal recessive disorder in which leucine catabolism is hampered, leading to increased urinary excretion of 3-methylcrotonylglycine. In addition, 3-hydroxyisovalerylcarnitine levels increase in the blood, and the elevated levels form the basis of neonatal screening. 3MCC deficiency symptoms are variable, ranging from neonatal onset with severe neurological abnormality to a normal, asymptomatic phenotype. Although 3MCC deficiency was previously considered to be rare, it has been found to be one of the most common metabolic disorders in newborns after the neonatal screening test using tandem mass spectrometry was introduced. Additionally, asymptomatic 3MCC deficient mothers have been identified due to abnormal results of unaffected baby's neonatal screening test. Some of the 3MCC-deficient mothers show symptoms such as fatigue, myopathy, or metabolic crisis with febrile illnesses. In the current study, we identified an asymptomatic 3MCC deficient mother when she showed abnormal results during a neonatal screening test of a healthy infant.http://kjp.or.kr/upload/pdf/kjped-57-329.pdfNeonatal screening3-Methylcrotonyl CoA carboxylaseAsymptomatic diseaseMotherUnaffected newborn
spellingShingle Sun Hee Lee
Yong Hee Hong
Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test
Korean Journal of Pediatrics
Neonatal screening
3-Methylcrotonyl CoA carboxylase
Asymptomatic disease
Mother
Unaffected newborn
title Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test
title_full Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test
title_fullStr Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test
title_full_unstemmed Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test
title_short Asymptomatic maternal 3-methylcrotonylglycinuria detected by her unaffected baby's neonatal screening test
title_sort asymptomatic maternal 3 methylcrotonylglycinuria detected by her unaffected baby s neonatal screening test
topic Neonatal screening
3-Methylcrotonyl CoA carboxylase
Asymptomatic disease
Mother
Unaffected newborn
url http://kjp.or.kr/upload/pdf/kjped-57-329.pdf
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