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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
"vomiting"
symptom
22q11.2 deletion syndrome
alexander disease
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
congenital toxoplasmosis
cutaneous mastocytosis
dedifferentiated liposarcoma
esophageal squamous cell carcinoma
homocystinuria without methylmalonic aciduria
kallmann syndrome
locked-in syndrome
megacystis-microcolon-intestinal hypoperistalsis syndrome
neonatal adrenoleukodystrophy
primary hyperoxaluria type 1
proteus syndrome
scrub typhus
severe combined immunodeficiency
systemic capillary leak syndrome
triple a syndrome
typhoid
von hippel-lindau disease
This symptom has already been validated