Alpha-ketoglutarate dehydrogenase deficiency
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
Alpha-ketoglutarate dehydrogenase defiency is a congenital error of an enzyme in the citric acid cycle. It is thought to be caused by low molar ratios of ketone bodies in plasma of neonates with congenital lactic acidosis as an indication of dysfunction of the citric acid cycle.
Symptoms
New borns present with
- Hypotonia
- Metabolic acidosis
- Hyperlactatemia
Neurologic deterioration can result in death in the early days of life.[1]