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Early onset methylmalonic aciduria and homocystinuria cblC type with demyelinating neuropathy.
[homocystinuria without methylmalonic aciduria]
Methylmalonic
aciduria
and
homocystinuria
,
cblC
type
,
is
the
most
common
inborn
error
of
vitamin
B
(
12
)
(
cobalamin
)
metabolism
.
The
recent
cloning
of
the
disease
gene
,
MMACHC
,
has
permitted
genotype-phenotype
correlation
.
In
a
1
-
year
-old
girl
,
compound
heterozygous
c
.
271
dupA
and
c
.
616
C
>
T
mutations
in
MMACHC
were
identified
as
causing
an
early
onset
methylmalonic
aciduria
and
homocystinuria
,
cblC
type
,
which
was
complicated
by
sensorimotor
peripheral
demyelinating
neuropathy
.