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Resolution of cor pulmonale after medical management in a patient with cblC-type methylmalonic aciduria and homocystinuria: a case report.
[homocystinuria without methylmalonic aciduria]
We
describe
a
3
-
year
-old
Hispanic
male
with
cblC-
type
methylmalonic
aciduria
and
homocystinuria
who
presented
to
the
emergency
department
with
progressive
tachypnea
,
vomiting
,
and
edema
secondary
to
pulmonary
embolism
and
cor
pulmonale
.
With
aggressive
medical
management
,
there
was
complete
resolution
of
right
heart
failure
and
pulmonary
hypertension
after
3
months
.
Pulmonary
embolism
is
rare
in
the
pediatric
population
.
Children
with
cblC-
type
methylmalonic
aciduria
and
homocystinuria
may
be
at
increased
risk
for
thrombus
formation
and
pulmonary
embolism
due
to
chronic
hyperhomocystinemia
,
a
risk
factor
for
thrombus
formation
in
the
adult
population
.
Aspirin
therapy
may
be
indicated
in
children
with
inborn
errors
of
metabolism
that
predispose
to
hyperhomocystinemia
.
Diseases
Validation
Diseases presenting
"methylmalonic aciduria"
symptom
canavan disease
homocystinuria without methylmalonic aciduria
This symptom has already been validated