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combined oxidative phosphorylation deficiency 34
Description
Combined oxidative phosphorylation deficiency 34 (COXPD34) is an autosomal recessive disorder resulting from a defect in mitochondrial function [4][6]. The phenotype is variable, but may include congenital sensorineural deafness, increased serum lactate, and hepatic and renal dysfunction [5].
The symptoms of COXPD34 can vary widely among affected individuals. Some people with this condition may experience:
- Congenital sensorineural deafness: This refers to a type of hearing loss that is present at birth or develops in early childhood.
- Increased serum lactate: Elevated levels of lactic acid in the blood, which can be a sign of mitochondrial dysfunction.
- Hepatic and renal dysfunction: Problems with liver and kidney function, which can lead to a range of symptoms including jaundice, abdominal pain, and changes in urine output.
It's worth noting that COXPD34 is a rare condition, and more research is needed to fully understand its causes and effects [4].
Signs and Symptoms
Combined oxidative phosphorylation deficiency 34 (COXPD34) is a rare mitochondrial disorder that affects the body's ability to produce energy. The signs and symptoms of COXPD34 can vary, but they often include:
- Global developmental delay: Affected individuals may experience delays in reaching developmental milestones, such as sitting, walking, or talking.
- Intellectual disability: People with COXPD34 may have significant cognitive impairments, including difficulty with speech, language, and problem-solving.
- Microcephaly: Some individuals with COXPD34 may be born with a smaller-than-average head size (microcephaly).
- Seizures: Seizures are a common symptom of COXPD34, and they can range from mild to severe.
- Muscle weakness: Affected individuals may experience muscle weakness or hypotonia, which can affect their ability to move or maintain posture.
- Poor feeding and breathing difficulties: In the early stages of life, people with COXPD34 may have difficulty feeding or breathing properly.
According to [4], COXPD34 is an autosomal recessive disorder resulting from a defect in mitochondrial function. The phenotype is variable, but it often includes congenital sensorineural deafness, increased serum lactate, and hepatic and renal dysfunction.
It's worth noting that the symptoms of COXPD34 can vary widely among affected individuals, and not everyone will experience all of these signs and symptoms. [11]
Additional Symptoms
- Global developmental delay
- Microcephaly
- Seizures
- Renal dysfunction
- Intellectual disability
- Increased serum lactate
- Poor feeding and breathing difficulties
- deafness
- muscle weakness
- hepatic dysfunction
Diagnostic Tests
Diagnostic Tests for Combined Oxidative Phosphorylation Deficiency (COXPD) 34
Combined oxidative phosphorylation deficiency (COXPD) is a severe disorder with early onset and autosomal recessive inheritance. COXPD34 is one of the types of this condition, characterized by global developmental delay, congenital sensorineural deafness, increased serum lactate, and hepatic and renal dysfunction.
Laboratory Tests
The diagnosis of COXPD34 can be confirmed through various laboratory tests, including:
- Molecular Genetics Tests: Genetic testing is available to identify the pathogenic variants in the genes associated with COXPD34. This test can be performed on a blood sample or DNA.
- Biochemical Tests: Laboratory studies may show increased serum and CSF lactate levels, which are indicative of mitochondrial dysfunction.
Clinical Tests
In addition to laboratory tests, clinical tests such as:
- Physical Examination: A thorough physical examination may reveal signs of global developmental delay, congenital sensorineural deafness, and other systemic symptoms.
- Imaging Studies: Imaging studies such as MRI or CT scans may be performed to rule out other conditions that may present with similar symptoms.
Genetic Testing
Genetic testing is available for COXPD34, which can confirm the diagnosis. This test involves analyzing a blood sample or DNA for pathogenic variants in the genes associated with this condition.
References
- [3] Laboratory test results reveal abnormal plasma levels of ammonia, bilirubin, lactic dehydrogenase, and alkaline phosphatase.
- [5] Laboratory studies showed increased serum and CSF lactate.
- [6] Disease code: OMIM:617872 ยท Associated therapeutic area(s): Abnormality of metabolism/homeostasis (HP:0001939)
- [7] Combined oxidative phosphorylation deficiency-35 (COXPD35) is an autosomal recessive disorder characterized mainly by global developmental delay with ...
Note: The above information is based on the search results provided and may not be a comprehensive list of diagnostic tests for COXPD34.
Additional Diagnostic Tests
- Physical Examination
- Imaging Studies
- Genetic Testing
- Biochemical Tests
- Molecular Genetics Tests
Treatment
Combined oxidative phosphorylation deficiency 34 (COXPD34) is a rare autosomal recessive disorder characterized by delayed psychomotor development, and there is limited information available on its treatment.
However, based on the search results, it appears that some patients with COXPD34 have been treated with biotin, coenzyme Q10, thiamine, and other supplements (result 2). Additionally, a case report mentions that a patient with COXPD11 was prescribed levetiracetam, sodium valproate, oxcarbazepine, and phenobarbital to control seizures (result 10).
It's worth noting that the treatment of COXPD34 is not well established, and more research is needed to determine the most effective treatment options for this condition.
Treatment Options:
- Biotin, coenzyme Q10, thiamine, and other supplements may be beneficial in some cases (result 2)
- Levetiracetam, sodium valproate, oxcarbazepine, and phenobarbital may be used to control seizures (result 10)
References:
- Result 2: Treatment with biotin, coenzyme Q10, thiamine, and other supplements
- Result 10: Use of levetiracetam, sodium valproate, oxcarbazepine, and phenobarbital to control seizures
Recommended Medications
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Differential Diagnosis
Additional Information
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- A combined oxidative phosphorylation deficiency typically characterized by congenital sensorineural deafness, increased serum lactate, and hepatic and renal dysfunction that has_material_basis_in homozygous or compound heterozygous mutation in the MRPS7 gene on chromosome 17q25.1.
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