Propionic acidemia

Propionic acidemia, also known as propionic aciduria or propionyl-CoA carboxylase deficiency (PCC deficiency), is a rare autosomal recessive metabolic disorder, classified as a branched-chain organic acidemia.

Propionic acidemia
Other namesHyperglycinemia with ketoacidosis and leukopenia
Propionic acid
SpecialtyEndocrinology 
SymptomsPoor muscle tone, lethargy, vomiting
Diagnostic methodGenetic testing; high levels of propionic acid in the urine
TreatmentLow-protein diet
PrognosisDevelopment may be normal, or patients may have lifelong learning disabilities

The disorder presents in the early neonatal period with poor feeding, vomiting, lethargy, and lack of muscle tone. Without treatment, death can occur quickly, due to secondary hyperammonemia, infection, cardiomyopathy, or brain damage.

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