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Intermittent peripheral weakness as the presenting feature of pyruvate dehydrogenase deficiency.
[pyruvate dehydrogenase deficiency]
Two
unrelated
children
presenting
with
episodic
isolated
peripheral
weakness
were
found
to
have
pyruvate
dehydrogenase
(
PDH
)
deficiency
(
OMIM
312170
)
due
to
previously
undescribed
mutations
(
Pro
250
T
hr
,
Arg
88
Cys
)
in
the
gene
for
the
E
1
alpha
subunit
(
PDHA
1
)
.
Taken
in
context
with
the
literature
,
these
patients
suggest
that
acute
weakness
initially
resembling
Guillain-
Barré
syndrome
is
a
potentially
reversible
and
probably
underdiagnosed
manifestation
of
PDH
deficiency
and
that
peripheral
nerve
function
should
be
evaluated
in
PDH
-
deficient
patients
.
Diseases
Validation
Diseases presenting
"acute weakness"
symptom
pyruvate dehydrogenase deficiency
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